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Invagination of the small intestine: Ultrasonographic and clinical aspects in pediatric patients Invaginacion de intestino delgado: Aspectos ultrasonograficos y clinicos en pacientes pediatricos
Indexado
Scopus SCOPUS_ID:70349419992
SciELO S0717-93082009000200007
DOI
Año 2009
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Intussusceptions in children have been considered a medical-surgical emergency. This concept relates to ileocolic invagination, which rarely remits spontaneously; it involves a vascular risk for affected intestine, and requires a prompt resolution. The increased use of ultrasound in abdominal pain evaluation has resulted in ever rising frequency rates in detection of small intestine intussusceptions, a phenomenon that is often self-limited. To analyze relevant clinical and ultrasonographic aspects of these patients, a retrospective study of medical records and ultrasound findings of 43 pediatric patients (7 months-10 years) presenting with intussusceptions of the small intestine, was conducted. The most frequent symptoms were abdominal pain (72%) and vomiting (36%). Ten patients presented more than one intussusceptions, adding up to 55 invaginations in the series. Predominantly they were located in the periumbilical region, while transverse and longitudinal diameters ranged from 0.9 and2.7cm (1.6 average), and 3.9 and 1.0 cm (2.2 cm average), respectively Intussusceptions was self-limited in all the cases, disappearing during the examination period in 64 per cent of patients, whereas remission of invagination in the remaining 36 per cent occurred subsequently during ultrasound exams performed from 45 minutes to 22 hours afterwards. Nineteen per cent of patients were hospitalized and none of them required surgery. The most common final diagnosis in these children were acute gastroenteritis, enterovirosis, and acute diarrheal syndrome. Being aware of this pathology seems of relevance since the radiologist plays an important role in the conservative management of these patients.

Disciplinas de Investigación



WOS
Radiology, Nuclear Medicine & Medical Imaging
Scopus
Radiology, Nuclear Medicine And Imaging
SciELO
Health Sciences

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 ORTEGA E, XIMENA Mujer Clínica Las Condes - Chile
2 Moenne, Karla Mujer Clínica Las Condes - Chile
3 Contardo P, Verónica Mujer Universidad de Chile - Chile
4 Escaffi J, Juan A Hombre Clínica Las Condes - Chile
5 PEREZ-JARA, CAROLINA ALEJANDRA Mujer Clínica Las Condes - Chile

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Financiamiento



Fuente
Sin Información

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Agradecimientos



Agradecimiento
Sin Información

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