What is Ileocolic intussusception?
Ileocolic intussusception (ICI) occurs when the terminal ileum and its mesentery, the intussusceptum, invaginates through the ileocecal valve into the cecum, the intussuscipiens.
What causes jejunal intussusception?
In adults, intussusception is usually the result of a medical condition or procedure, including: A polyp or tumor. Scar-like tissue in the intestine (adhesions) Weight-loss surgery (gastric bypass) or other surgery on the intestinal tract.
What is the treatment of choice for a child with intussusception?
Treatment. Intussusception is not usually immediately life-threatening. It can be treated with either a water-soluble contrast enema or an air-contrast enema, which both confirms the diagnosis of an intussusception, and in most cases successfully reduces it.
What is pediatric intussusception?
Intussusception refers to the invagination (telescoping) of a part of the intestine into itself. It is the most common abdominal emergency in early childhood, particularly in children younger than two years of age [1].
What does Ileocolic mean?
Medical Definition of ileocolic : relating to, situated near, or involving the ileum and the colon ileocolic intussusception.
Where is the Ileocolic region?
In many Animalia, including humans, an ileocolic structure or problem is something that concerns the region of the gastrointestinal tract from the ileum to the colon.
Why does intussusception occur in infants?
Intussusception occurs when a portion of your child’s intestine folds inside another segment — this causes an obstruction that prevents the passage of food, which is being digested. The walls of the two sections of intestine press on each other, causing irritation and swelling.
Where is the ileocolic region?
Where is the ileocolic located?
The ileocolic artery is found anterior to the right gonadal vessels and ureter. The posterior cecal artery is found posterior to the terminal ileum/cecum. The anterior cecal artery is found anterior to the terminal ileum/cecum. The appendicular artery is found posterior to the terminal ileum.
How many ileocolic intussusceptions are there in children?
There were 200 cases of intussusception in 174 patients (126 boys, 48 girls; mean age, 17.2 months (range, 0 years to 7 years 1 month); 57 (28.5%) were small-bowel and 143 (71.5%) were ileocolic intussusceptions.
How to diagnose small bowel intussusception in children?
The diagnosis is usually achieved with ultrasonography (US), which has a sensitivity and a specificity of close to 100% in experienced hands ( 2 ). The classic US appearance of intussusception has been described as a pseudokidney or doughnut sign ( 3, 4 ).
Can a ileocolic intussusception be achieved by enema alone?
Ileocolic intussusception without evidence of necrosis requires reduction by enema, with 24-hour follow-up owing to the possibility of recurrence, and surgical reduction in cases where enema is unsuccessful ( 5 ). Reduction is achieved by means of enema alone in 80%–95% of cases ( 5, 6 ).
How big is the intussusception in an 8 month old boy?
Figure 3: US image of 18-mm small-bowel intussusception in 8-month-old boy shows that the intussusception has a small (0.3 mm) and flat inner fat core (arrows). The outer wall diameter is 0.5 mm, and the core-to-wall index is 0.6 (0.3/0.5). The lesion reduced spontaneously.
