Ileocolic intussusception: extensive reflux of air preceding pneumatic reduction. 1990

G L Hedlund, and J F Johnson, and J L Strife
Department of Radiology, Children's Hospital Medical Center, University of Cincinnati College of Medicine, OH 45229-2899.

The use of an air enema for diagnosis and treatment of intussusception has recently gained popularity. The current end point for reduction is the reflux of air into the terminal ileum. The authors report three cases in which air freely refluxed into the terminal ileum without complete reduction of the intussusceptum. Thus, reflux of air alone cannot be relied on as the sole criterion for reduction. Close examination of the cecum for a persistent filling defect is imperative to exclude unsuccessful reduction.

UI MeSH Term Description Entries
D007077 Ileal Diseases Pathological development in the ILEUM including the ILEOCECAL VALVE. Disease, Ileal,Diseases, Ileal,Ileal Disease
D007223 Infant A child between 1 and 23 months of age. Infants
D007422 Intestines The section of the alimentary canal from the STOMACH to the ANAL CANAL. It includes the LARGE INTESTINE and SMALL INTESTINE. Intestine
D007443 Intussusception A form of intestinal obstruction caused by the PROLAPSE of a part of the intestine into the adjoining intestinal lumen. There are four types: colic, involving segments of the LARGE INTESTINE; enteric, involving only the SMALL INTESTINE; ileocecal, in which the ILEOCECAL VALVE prolapses into the CECUM, drawing the ILEUM along with it; and ileocolic, in which the ileum prolapses through the ileocecal valve into the COLON. Invagination, Intestinal,Intususception,Intestinal Invagination,Intestinal Invaginations,Intussusceptions,Intususceptions,Invaginations, Intestinal
D008297 Male Males
D011029 Pneumoradiography Radiography using air, oxygen, or some other gas as a contrast medium. Air Radiography,Insufflation Radiography,Negative Contrast Radiography,Radiography, Insufflation,Contrast Radiography, Negative,Radiography, Air,Radiography, Negative Contrast,Air Radiographies,Contrast Radiographies, Negative,Insufflation Radiographies,Negative Contrast Radiographies,Pneumoradiographies,Radiographies, Air,Radiographies, Insufflation,Radiographies, Negative Contrast
D004733 Enema Insertion of a solution or compound through the RECTUM with the purpose of cleansing the COLON or for diagnostic procedures. Enemata,Enemas,Enematas
D005260 Female Females
D005740 Gases The vapor state of matter; nonelastic fluids in which the molecules are in free movement and their mean positions far apart. Gases tend to expand indefinitely, to diffuse and mix readily with other gases, to have definite relations of volume, temperature, and pressure, and to condense or liquefy at low temperatures or under sufficient pressure. (Grant & Hackh's Chemical Dictionary, 5th ed)
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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