Intussusception x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

An x-ray may be helpful in the diagnosis of intussusception. Plain x-ray abdomen of patient are done in supine and upright position. Findings on an x-ray suggestive of/diagnostic of intussusception include absence of air in right lower quadrant and right upper quadrant, soft tissue density in right upper quadrant in 25-60% of patients, and normal in 60% of cases.

X Ray Images

Plain film

An x-ray may be helpful in the diagnosis of intussusception. Findings on an x-ray suggestive of/diagnostic of intussusception include:
- Normal in 60% of cases.
- Absence of air in right lower quadrant and right upper quadrant.
- Soft tissue density in right upper quadrant in 25-60% of patients.
- Distended loops of bowel with absence of colonic gas (sign of intestinal obstruction).
- Target sign -
  - Two concentric radiolucent circles superimposed on the right kidney.
  - This signifies peritoneal fat around the intussusception.
  - A study shows target sign is present in 26% of patients.

Patient #1