[Contribution of ultrasound in the management of acute intestinal intussusception of the infant].

Autor: Badji N; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec., Deme H; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec., Akpo G; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec., Chaouch A; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec., Draha FR; Service de Radiologie et Imagerie Médicale du CHUN de Fann., Dia A; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec., Diallo I; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec., Faye I; Service de Radiologie et Imagerie Médicale du CHUN de Fann., Diop PA; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec., Diop AD; Service de Radiologie et Imagerie Médicale du CHUN de Fann., Ly A; Service de Radiologie et Imagerie Médicale de l'hôpital d'enfant Albert Royer., Ba S; Service de Radiologie et Imagerie Médicale du CHUN de Fann., Niang EH; Service de Radiologie et Imagerie Médicale de l'hôpital Aristide Le Dantec.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2022; Vol. 37 (2), pp. 44-52.
Abstrakt: Objective: The objective of this work was to study the place of ultrasound in the positive diagnosis, etiology and choice of the therapeutic modality of acute intestinal intussusception.
Material and Methods: This was a retrospective, descriptive, cross-sectional, multicenterstudy, carried out over a period of 18 months (January 1, 2016 to June 30, 2017) on 45 patient files collected in the radiologydepartments (Aristide Le Dantec and Albert Royer). Were included all patients aged less than 14 years, admitted with acute abdominal pain, whose diagnosis of IIA was retained on ultrasound. Pneumatic disinvagination was performed in patients without signs of severity. We studied the time of management, the ultrasound aspects of the invagination puddles, the therapeutic choice but also the radiosurgical concordance and the factors of failure of the pneumatic enema. Statistical analysis was done by SPSS version 21.0 software.
Results: Ultrasound was used to make the diagnosis of IIA in 43 cases (95.5%). The sonographic characteristics were as follows: 27.9% of the IIA were located in the right hypochondrium, 19 cases were ileo-caecal, 10 (22.2%) ileo-caeco-colic, 9 (20%) ileo-colic, 4 (8.9%) colo-colic and one (2.2%) gregelic; 44 cases were idiopathic and one case was a Meckel's diverticulum The management time was less than 48 hours in 34% of cases and 66% more than 48 hours. Pneumatic reduction was performed in 18 cases (40%), with success in 14 cases (77.8%) and one case of pneumoperitoneum complication. Surgery was performed in 31 cases (68.8%). The sensitivity and specificity of ultrasound in the diagnosis of signs of severity were 77.7% and 78.9%. Good agreement was observed between the results of the Doppler ultrasound and the intraoperative findings. Ultrasound parameters associated with failed pneumatic deinvagination were: outer cylinder thickness ≥10 mm, adenopathy at the level of the small-axis bladder ≥10 mm, effusion in the bladder, and hypovascularization of the bladder head. Hypovascularization of the boudin head was the only factor independently associated with failure of pneumatic disinvagination.
Conclusion: Ultrasound is a powerful imaging modality in the positive diagnosis, etiology, severity and therapeutic choice of IIA.
(Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)
Databáze: MEDLINE
Externí odkaz: