A case of adult intussusception with greyscale, contrast-enhanced ultrasound and computerised tomography correlation. (May 2017)

• Record Type: Journal Article
• Authors: Rafailidis, Vasileios; Phillips, Claudette; Yusuf, Gibran; Sidhu, Paul
• Is Part Of: Ultrasound. Volume 25:Number 2(2017:May)
• Page Start: 120
• Page End: 125
• Publication Date: 2017-05
• Subjects: Intussusception -- contrast-enhanced ultrasound; Ultrasonic imaging -- Periodicals; Ultrasonography -- Periodicals; 616.0754305
• DOI: 10.1177/1742271X16678646
• Languages: English
• ISSNs: 1742-271X

Abstract

Intussusception is often misdiagnosed as a cause of bowel ischemia and obstruction among adults due to its relatively rare presentation outside of the paediatric population. Ultrasound is often the first-line investigation for non-specific abdominal pain and can identify the presence of intussusception. In the adult population, it is essential to evaluate for causes and consequences of intussusception; as a result, computerised tomography is often deemed necessary. However, contrast-enhanced ultrasound allows for evaluation of potential causes and complications, including a neoplastic lead point and ischaemia of the bowel, whilst avoiding ionising radiation or nephrotoxic iodinated contrast. We report a case of adult intussusception with a polyp lead point with ultrasound, contrast-enhanced ultrasound and computerised tomography correlation.