Intussusception: ability of fluoroscopic images obtained during air enemas to depict lead points and other abnormalities.

Abstract:

PURPOSE:To evaluate the ability of fluoroscopic images obtained during air enemas to depict or exclude lead points of intussusceptions and other abnormalities that require surgical treatment in the absence of intussusception. MATERIALS AND METHODS:The clinical, radiologic, surgical, and pathologic findings were reviewed in 14 patients with lead points or other lesions. RESULTS:Fluoroscopic images failed to depict a lead point in 10 patients. The air enema easily reduced intussusceptions with benign lead points in seven patients. Fluoroscopic images depicted pathologic lead points in two patients and were normal in two patients with intussusception. Fluoroscopic images failed to depict an abnormality that required surgery in the absence of intussusception in two patients. CONCLUSION:Successful reduction of an intussusception does not always rule out a lead point. Other imaging studies, the patient's condition, and laparotomy may also be necessary to diagnose and treat lead points and other lesions.

journal_name

Radiology

journal_title

Radiology

authors

Miller SF,Landes AB,Dautenhahn LW,Pereira JK,Connolly BL,Babyn PS,Alton DJ,Daneman A

doi

10.1148/radiology.197.2.7480700

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

493-6

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

197

pub_type

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