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. 2011 Sep;45(3):128-31.

Ultrasound guided hydrostatic reduction of intussusception in children at Korle Bu Teaching Hospital: an initial experience

Y Mensah  1 , H Glover-Addy, V Etwire, W Appeadu-Mensah, M Twum
Affiliations

Ultrasound guided hydrostatic reduction of intussusception in children at Korle Bu Teaching Hospital: an initial experience

Y Mensah et al. Ghana Med J. 2011 Sep.

Abstract

Intussusceptions is the telescoping or invagination of a portion of intestine (intussusceptum) into an adjacent segment (intussuscipiens). It is one of the common causes of bowel obstruction in infants and toddlers.Sonography has now been accepted as a method for guiding hydrostatic reduction of intussusception with tap water, normal saline or Ringer's lactate solution. This method is currently being used at Korle Bu Teaching Hospital. It is a very simple, efficient, economical and quick method of managing intussusception. The duration of the procedure ranges between two minutes and thirty minutes, with the majority being under ten minutes. A total of twenty intussusceptions were managed in eighteen patients over a nine month period. In fifteen patients (75%) the intussusception was reduced successfully. In five patients (25%), the procedure failed to reduce the intussusceptions.

Keywords: Intestinal obstruction; Intussuscepiens; Intussusception; Intussuscetum; hydrostatic reduction.

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Conflict of interest statement

Conflict of Interest : None declared

Figures

Figure1
Figure1
Ultrasound features of intussusception. A. Target Sign B. Sandwich Sign
Figure 2
Figure 2
Psuedo-kidney sign of intussusception on ultrasound
Figure 3
Figure 3
Ultrasound image of the interface between intussusceptum and water during reduction
See this image and copyright information in PMC

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