Intussusception

Ultrasound scanning guidelines

Intussusception This is the most common cause of acute abdominal pain in children aged between 6 months and 2 years. A segment of bowel is seen to telescope into another, ileo-colic is the most commonly seen and is usually located in the RUQ, ascending or transverse colon. Assess: Terminal ileum and colon for evidence of intussusception Other causes for abdominal pain if intussusception is not found Documentation: Transverse and longitudinal views of the ascending colon transverse colon descending colon rectum If intussusception seen: At intussusception site: trans views + clipstore long view + clipstore trans view + colour Doppler long view of pelvis midline for free fluid If intussusception not seen: trans view of SMV/SMA Both kidneys - long and trans trans pancreas RIF for appendix and/or mesenteric nodes Differential Diagnosis: Gastroenteritis Malrotation and volvulus Pancreatitis Pylonephritis Appendicitis Mesenteric Adentitis

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