Khasawneh Ruba, El-Heis Mwaffaq, Al-Omari Mamoon, Al-Qaralleh Mohammed A, Al-Manasra Abdel Rahman, Alqudah Abdallah A, Awad Samah
Department of Diagnostic Radiology and Nuclear Medicine, Faculty of Medicine, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid 22110, Jordan.
Department of Surgery, Faculty of Medicine, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid 22110, Jordan.
Heliyon. 2021 Jun 5;7(6):e07231. doi: 10.1016/j.heliyon.2021.e07231. eCollection 2021 Jun.
To describe the radiological characteristics for childhood intussusceptions including unusual radiological features and rare pathological lead points (PLP).
The medical records of all childhood intussusceptions between 1/1/2010 -1/10/2020 were retrospectively reviewed. 95 cases were identified in 82 patients. The demographic data, presenting symptoms, diagnostic and treatment methods, radiological features, and PLPs among the different types of intussusception were analyzed.
Ileocolic intussusception (ICI) represented 53.7% (51/95). The average age for ICI was 1.87 years. Males constituted 72.1% (31/43). 29.4% (15/51) were treated primarily surgically due to peritonitis. Small bowel intussusception (SBI) represented 40% (38/95) in which females constituted 51.5% (17/33). Ileo-ileal represented 63.2% (24/38). 81.8% (27/33) were transient. On ultrasound; There was a statistically significant difference in the size of the outer diameter of ICI compared to SBI (P-value 0.00012). Ileo-ileocolic and colo-colic intussusceptions constituted 3.2% (3/95); each and were more common in females. Vomiting was the most common symptom for intussusception and ultrasound was diagnostic in the majority of cases. PLPs were seen in 36.6% (30/82) of the patients of which the average age was 7 years. PLPs/risk factors were benign in 80% (24/30). A case of colo-colic intussusception was seen in a 16-year-old female due to clear cell sarcoma which was not reported before. 12.2% patients (10/82) had recurrent intussusception.
Our study showed that ICI is the most commonly encountered type. SBIs are mostly transient. It is important to radiologically determine the type of intussusception and to identify PLPs or unusual radiological features to avoid unnecessary intervention and significant patient morbidity.
描述儿童肠套叠的放射学特征，包括不寻常的放射学特征和罕见的病理引导点（PLP）。
回顾性分析2010年1月1日至2020年10月1日期间所有儿童肠套叠的病历。82例患者共确诊95例。分析不同类型肠套叠的人口统计学数据、症状表现、诊断和治疗方法、放射学特征及病理引导点。
回结肠型肠套叠（ICI）占53.7%（51/95）。ICI的平均年龄为1.87岁。男性占72.1%（31/43）。29.4%（15/51）因腹膜炎接受了一期手术治疗。小肠型肠套叠（SBI）占40%（38/95），其中女性占51.5%（17/33）。回肠型占63.2%（24/38）。81.8%（27/33）为暂时性。超声检查显示，ICI的外径大小与SBI相比有统计学显著差异（P值0.00012）。回结肠型和结肠型肠套叠各占3.2%（3/95），且在女性中更为常见。呕吐是肠套叠最常见的症状，大多数病例通过超声检查得以诊断。82例患者中有36.6%（30/82）可见病理引导点，其平均年龄为7岁。80%（24/30）的病理引导点/危险因素为良性。一名16岁女性因透明细胞肉瘤发生结肠型肠套叠，此前未见报道。12.2%的患者（10/82）发生复发性肠套叠。
我们的研究表明，ICI是最常见的类型。SBI大多为暂时性。通过放射学确定肠套叠类型并识别病理引导点或不寻常的放射学特征，对于避免不必要的干预和显著的患者发病率很重要。
