Intussusception classification: Difference between revisions

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{{Intussusception}}
{{Intussusception}}
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==Overview==
==Overview==
Intussusception may be classified into several subtypes based on location and [[etiology]]. According to location of intussusception it is classified into ileocolic, ileo-ileo-colic, jejuno-jejunal, jejuno-ileal, and colo-colic. According to [[etiology]] of intussusception it is classified into idiopathic or lead point (pathologic) types. 


==Classification==
==Classification==
===Transient Intussusception===
* Intussusception can be classified according to various parameters:-
*Transient non obstructing intussusception without a lead point is known to occur in both adults and children and occurs more frequently than was previously reported. <ref>Young H. Kim, Michael A. Blake, Mukesh G. Harisinghani, Krystal Archer-Arroyo, Peter F. Hahn, Martha B. Pitman, and Peter R. Mueller. [http://radiographics.rsnajnls.org/cgi/content/abstract/26/3/733 Adult Intestinal Intussusception: CT Appearances and Identification of a Causative Lead Point.] RadioGraphics 2006 26: 733-744.</ref>
** Classification of intussusception based on its location:-
*Transient intussusception of the small bowel has been reported in adults with [[celiac disease]] and [[Crohn disease]] but is most frequently detected incidentally and is presumed to be innocuous.
*** Ileocolic intussusception<ref name="pmid22929138">{{cite journal |vauthors=Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B |title=Intussusception: clinical presentations and imaging characteristics |journal=Pediatr Emerg Care |volume=28 |issue=9 |pages=842–4 |year=2012 |pmid=22929138 |doi=10.1097/PEC.0b013e318267a75e |url=}}</ref>
*Intussusception without a lead point is known to appear as a non obstructing segment, usually smaller in diameter and shorter than an intussusception with a lead point.
**** 90% cases.  
 
**** It involves the [[ileocecal]] junction.  
[http://www.radswiki.net Images courtesy of RadsWiki]
*** Ileo-ileo-colic
 
*** Jejuno-jejunal
<gallery>
*** Jejuno-ileal
Image:Transient-intussusception-001.jpg|Transient intussusception
*** Colo-colic
Image:Transient-intussusception-002.jpg|Transient intussusception
{{Family tree/start}}
Image:Transient-intussusception-003.jpg|Transient intussusception
{{Family tree | | | | | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | |A01= Types}}
Image:Transient-intussusception-004.jpg|Transient intussusception
{{Family tree | | | | | | | | | | | | | | | | | | | |!| | | | | }}
</gallery>
{{Family tree | | | | | | | |,|-|-|-|-|-|v|-|-|-|-|-|+|-|-|-|-|-|v|-|-|-|-|-|.| |}}
{{Family tree | | | | | | | B01 | | | | B02 | | | | B03 | | | | B04 | | | | B05 |B01= Ileocolic| B02= Ileo-Ileo-Colic| B03= Jejuno-jejunal| B04= Jejuno-Ileal| B05= Colo-Colic}}
{{Family tree/end}}
* Classification based on [[etiology]]
** Intussusception can be classified into 2 types based on [[etiology]]:
*** Idiopathic:
**** In the idiopathic type there is no clear trigger point.
**** Most commonly seen in children.
*** Lead point:
**** In the lead point type there is a clear pathologic trigger.
**** Most commonly seen in adults.
{{Family tree/start}}
{{Family tree | | | | | | | | | | | | | | | | B01 | | | |B01= Children}}
{{Family tree | | | | | | | | | | | | | |,|-|-|^|-|-|.| | }}
{{Family tree | | | | | | | | | | | | | C01 | | | | C02 |C01= Idiopathic- no lead point| C02= Pathologic- Lead point}}
{{Family tree/end}}


==References==
==References==

Latest revision as of 14:55, 5 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]

Overview

Intussusception may be classified into several subtypes based on location and etiology. According to location of intussusception it is classified into ileocolic, ileo-ileo-colic, jejuno-jejunal, jejuno-ileal, and colo-colic. According to etiology of intussusception it is classified into idiopathic or lead point (pathologic) types.

Classification

  • Intussusception can be classified according to various parameters:-
    • Classification of intussusception based on its location:-
      • Ileocolic intussusception[1]
        • 90% cases.
        • It involves the ileocecal junction.
      • Ileo-ileo-colic
      • Jejuno-jejunal
      • Jejuno-ileal
      • Colo-colic
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Types
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ileocolic
 
 
 
Ileo-Ileo-Colic
 
 
 
Jejuno-jejunal
 
 
 
Jejuno-Ileal
 
 
 
Colo-Colic
  • Classification based on etiology
    • Intussusception can be classified into 2 types based on etiology:
      • Idiopathic:
        • In the idiopathic type there is no clear trigger point.
        • Most commonly seen in children.
      • Lead point:
        • In the lead point type there is a clear pathologic trigger.
        • Most commonly seen in adults.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Children
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Idiopathic- no lead point
 
 
 
Pathologic- Lead point

References

  1. Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B (2012). "Intussusception: clinical presentations and imaging characteristics". Pediatr Emerg Care. 28 (9): 842–4. doi:10.1097/PEC.0b013e318267a75e. PMID 22929138.

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