Journal of Ultrasound in Medicine, Vol 13, Issue 3 171-174, Copyright © 1994 by American Institute of Ultrasound in Medicine
Color Doppler ultrasonography in pediatric intussusception
R. Lagalla, G. Caruso, V. Novara, L. E. Derchi and A. E. Cardinale
Institute of Radiology, University of Palermo, Italy.
CDU was used in 11 children with intussusception. Demonstration of vascular
images within the "pseudokidney" mass was possible in none of 11 cases. Of
them, eight could be treated by hydrostatic reduction. In the remaining
case, marked edema of the bowel wall did not allow reduction, and surgery
had to be performed: no necrosis was observed in the surgical specimen.
Both patients in whom CDU failed to demonstrate vascular signals had
necrosis at surgery, and bowel resection was performed. Because of the
limited number of patients examined at this time, no firm conclusions can
be drawn from our experience. However, CDU seems a promising technique in
detecting vascular changes occurring in intussusception, with a possible
role as a predictive tool of bowel necrosis.
