Practical Imaging Strategies for Intussusception in Children

AJR Am J Roentgenol. 2020 Dec;215(6):1449-1463. doi: 10.2214/AJR.19.22445. Epub 2020 Oct 21.


OBJECTIVE. Intussusception is the most common cause of intestinal obstruction in young children. Radiology has a key role in its diagnosis and treatment. This systematic review summarizes the currently available evidence for best practices in radiologic management of pediatric intussusception. CONCLUSION. High diagnostic accuracy and lack of ionizing radiation make ultrasound (US) the preferred imaging modality for diagnosing intussusception. For intussusception reduction, fluoroscopy-guided pneumatic enema and US-guided hydrostatic enema are equally dependable and safe techniques. The areas that warrant further research in this field include the efficacy and safety of the US-guided pneumatic enema, potential benefits of sedation and general anesthesia for the reduction procedure, and the optimal management of intussusceptions potentially involving pathologic lead points.

Keywords: child; enema; fluoroscopy; intussusception; ultrasound.

Publication types

  • Systematic Review

MeSH terms

  • Child
  • Enema / methods*
  • Fluoroscopy
  • Humans
  • Intussusception / diagnostic imaging*
  • Intussusception / therapy*
  • Radiography, Interventional
  • Ultrasonography, Interventional