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    Go to the top of the page   ID: 20011027103313 ( 422 times read ) Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    This case was evaluated as (Grade 0).

     
    Small intestine invagination / small bowel intussusception
    Wolfgang Hirsch, H Teichler. Small intestine invagination / small bowel intussusception. PedRad [serial online] vol 1, no. 10.
    URL: www.PedRad.info/?search=20011027103313


    ( There are questions in the CMK-Mode for this topic )

     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Wolfgang Hirsch, H. Teichler (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    N/A  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    GI-Small intestine  

     
     Pediatric Radiology CasesMost likely etiology:

    other  

     
     Pediatric Radiology CasesHistory:

    Acute (spastic) or chonic-reoccuring abdominal complaints.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Short-term invaginations with spontaneous release is often seen in GI-infections.

    In case of no spontaneous devagination while performing ultrasound: a pathologic trigger for the invagination (lymph node in mesenterial lymphadenitis, Meckel diverticulum, small polipous tumors) should be suspected.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Bulls-eye structure (gut in gut) in the area of the small intestines. Often an echogenic mesenterium between the two walls of the invaginate can be seen.

    Dessucation is often very short.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Here too one sees a lymph node in the dessucated mesenterium.




    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: small amount of ascites



    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: See ultrasound 1



    Ultrasound 5 <- view Ultrasound 5

    Ultrasound 5: See ultrasound 1



    Ultrasound 6 <- view Ultrasound 6

    Ultrasound 6: See ultrasound 1




    Ultrasound 7 <- view Ultrasound 7

    Ultrasound 7: See ultrasound 1


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Intestinal wall lymphomas
    Purpura Schönlein Hennoch
    GvH-Reactions of the intestinal wall.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Often, spontaneous devagination.
    In case of invaginate persistence: unknown.  

     
     Pediatric Radiology CasesComments of the author about the case:

    Controversial discussion of a case, in which we monitored the invagination. The parents dismissed surgical intervention, since no clinical symptoms were seen.  

     
     Pediatric Radiology CasesFirst description / History:

    Laurell had already written about Peyer's plaques, the possible cause of the invaginates that he described.  

     
     Pediatric Radiology CasesLiterature:

    Laurell H (1932)
    Beitrag zur Röntgendiagnose der Dünndarmdiagnose nebst einigen Worten über die Ursache von Invaginationen überhaupt.
    Acta Radiol. 13: 362  

     
     Pediatric Radiology CasesKeywords:

    Small intestines, small bowel, invagination, Cocarde, Target, Target sign, intussusception, small bowel invagination, small bowel intussusception, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Wolfgang Hirsch, H Teichler. Small intestine invagination / small bowel intussusception. PedRad [serial online] vol 1, no. 10.
    URL: www.PedRad.info/?search=20011027103313  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: GI-Small intestine
    or in the region: GI
    or in the tissue/organ: Small intestine
    or with the etiology: other
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Small intestine invagination / small bowel intussusception
    Wolfgang Hirsch, H Teichler. Small intestine invagination / small bowel intussusception. PedRad [serial online] vol 1, no. 10.
    URL: www.PedRad.info/?search=20011027103313


    ( There are questions in the CMK-Mode for this topic )

     

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    Small intestine invagination / small bowel intussusception
    Other cases by these authors:

    Search Wolfgang Hirsch in Medline Wolfgang Hirsch (17)   
    Search H. Teichler in Medline H. Teichler (4)   

    Small intestine invagination / small bowel intussusception  
     
    Small intestine invagination / small bowel intussusception
    Wolfgang Hirsch, H Teichler. Small intestine invagination / small bowel intussusception. PedRad [serial online] vol 1, no. 10.
    URL: www.PedRad.info/?search=20011027103313


    ( There are questions in the CMK-Mode for this topic )

     
     
    Small intestine invagination / small bowel intussusception
    Wolfgang Hirsch, H Teichler. Small intestine invagination / small bowel intussusception. PedRad [serial online] vol 1, no. 10.
    URL: www.PedRad.info/?search=20011027103313


    ( There are questions in the CMK-Mode for this topic )

     

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    This case was evaluated as (Grade 0).

     
    Small intestine invagination / small bowel intussusception
    Wolfgang Hirsch, H Teichler. Small intestine invagination / small bowel intussusception. PedRad [serial online] vol 1, no. 10.
    URL: www.PedRad.info/?search=20011027103313


    ( There are questions in the CMK-Mode for this topic )

     




    Discussion >> Write Comment <<


    Small intestine invagination / small bowel intussusception:  small intestine intussusception
    (Christine Andrade | 17.08.09)


    Hi i need little advice. Its pretty rare for me to find the information about small intestine intussusception. my 38month old daughter she had diagonsed by the doctor that she has small intestine intussusception about 8 month ago. But fortunately it was temporarily thing comes and goes. However, now she has the same sympton as usual and moved from the place we got diagnose, which is korea and now we are in the states. no emergency doctor dont really believe that there is such thing for small intestine intussusception. it located pretty up high where the korean doctors cant reach from neither the bottom not the up way to have treatment. I really like to have some more information so that way i can actually talk to the er doctor when the symptom comes again. and i would like to know is there any way that i can find out why and cure it? thank you for your consideration.


      re: Small intestine invagination / small bowel intussusception:  small intestine intussusception
      (Roland Talanow | 18.08.09)


      Small bowel intussusception may happen in children mostly due to "benign" reasons, such as gastroenteritis or a Meckel diverticulum. A CT scan should be able to find the location of intussusception. If you say "no emergency doctor dont really believe that there is such thing for small intestine intussusception.", I assume there might be some misunderstanding/miscommunication.


      Ultrasound: Small intestine invagination
      (graziana galvagno | 16.04.05)


      I'd like to know the size of images: diamater, thickness of the ipoechogenic ring..
      thanks








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