Acute Intestinal Invagination of the Child at the Teaching Hospital of Bouaké: Ultrasound Diagnosis and Clinical-Echo-Surgical Correlation  

作　　者：Bouassa Davy Melaine Kouakou Konaté Issa Kouamé Paul Bonfils Kouassi Adoubs Cé lestin Bé nié  Tsri Akoli Baudouin Bravo Kesse Emile Tanoh Allou Florent Kouadio Brou Lambert Yao Achie Jean-Ré gis Akobe Sara Carole Sanogo Malick Soro Kouadio N’Dri Bouassa Davy Melaine Kouakou;KonatéIssa;KouaméPaul Bonfils Kouassi;Adoubs Célestin Bénié;Tsri Akoli Baudouin Bravo;Kesse Emile Tanoh;Allou Florent Kouadio;Brou Lambert Yao;Achie Jean-Régis Akobe;Sara Carole Sanogo;Malick Soro;Kouadio N’Dri(Medical Imaging and Radiodiagnostic Departement of the Teaching Hospital of Bouaké, Bouaké, Ivory Coast;Training and Research Unit Medical Sciences Alassane Ouattara University, Bouaké, Ivory Coast;Pediatric Surgery Unit of the Teaching hospital of Bouaké, Bouaké, Ivory Coast)

机构地区：[1]Medical Imaging and Radiodiagnostic Departement of the Teaching Hospital of Bouaké , Bouaké , Ivory Coast [2]Training and Research Unit Medical Sciences Alassane Ouattara University, Bouaké , Ivory Coast [3]Pediatric Surgery Unit of the Teaching hospital of Bouaké , Bouaké , Ivory Coast

出　　处：《Open Journal of Medical Imaging》2021年第1期18-28,共11页医学影像期刊（英文）

摘　　要：<strong>Background: </strong>Acute intestinal invagination or intussusception is the most common abdominal surgical emergency in infants, but it can occur at any age. Performing an ultrasound scan at the slightest clinical suspicion contributes to early diagnosis and therapeutic management. <strong>Objective:</strong> To show the relevance of ultrasound in the therapeutic management of the child’s intussusception through a correlation between the ultrasound diagnosis and the clinical and/or per operative diagnosis. <strong>Patients and Methods:</strong> It was a retrospective study of 24 cases from July 2017 to September 2020 (30 months) in the Medical Imaging and Paediatric Surgery departments of Teaching Hospital of Bouaké. We included only patients from 0 to 15 years old who had digestive symptoms, an abdominal ultrasound scan. These patients were eligible for surgery. Data analysis was performed with Epi info 7 software. <strong>Results:</strong> Median age was 17.2 months [02 - 120]. Male gender predominated (83.3%). Clinico-biological data were dominated by abdominal pain (79.2%), vomiting (75%) and rectorragies (33.3%), with Ombredanne’s triad in 33.3% and hyperleukocytosis (70.8%). Ultrasonography showed invaginated coves (95.8%) sitting in the right angl iliac fossa, peri-umbilical and right flank in 73.9%. Cockade image coupled with the sandwich image accounted for 95.6%. Superficial adenopathies (45.8%) and peri-lesional fluid effusion (20.8%) were associated with it. An occlusive syndrome complicating intussusception was observed in 41.67% associated with intra-peritoneal effusion of fluid (25%). There was a significant diagnostic agreement between the clinic, ultrasound and surgery according to the Fisher’s exact test (p = 0.002). That between ultrasound and surgery was calculated at 95.4%. <strong>Conclusion:</strong> This study allowed us to show a good clinical-echo-surgical concordance. Ultrasound is therefore an undeniable diagnostic, prognostic and therapeutic tool in the exploration of <strong>Background: </strong>Acute intestinal invagination or intussusception is the most common abdominal surgical emergency in infants, but it can occur at any age. Performing an ultrasound scan at the slightest clinical suspicion contributes to early diagnosis and therapeutic management. <strong>Objective:</strong> To show the relevance of ultrasound in the therapeutic management of the child’s intussusception through a correlation between the ultrasound diagnosis and the clinical and/or per operative diagnosis. <strong>Patients and Methods:</strong> It was a retrospective study of 24 cases from July 2017 to September 2020 (30 months) in the Medical Imaging and Paediatric Surgery departments of Teaching Hospital of Bouaké. We included only patients from 0 to 15 years old who had digestive symptoms, an abdominal ultrasound scan. These patients were eligible for surgery. Data analysis was performed with Epi info 7 software. <strong>Results:</strong> Median age was 17.2 months [02 - 120]. Male gender predominated (83.3%). Clinico-biological data were dominated by abdominal pain (79.2%), vomiting (75%) and rectorragies (33.3%), with Ombredanne’s triad in 33.3% and hyperleukocytosis (70.8%). Ultrasonography showed invaginated coves (95.8%) sitting in the right angl iliac fossa, peri-umbilical and right flank in 73.9%. Cockade image coupled with the sandwich image accounted for 95.6%. Superficial adenopathies (45.8%) and peri-lesional fluid effusion (20.8%) were associated with it. An occlusive syndrome complicating intussusception was observed in 41.67% associated with intra-peritoneal effusion of fluid (25%). There was a significant diagnostic agreement between the clinic, ultrasound and surgery according to the Fisher’s exact test (p = 0.002). That between ultrasound and surgery was calculated at 95.4%. <strong>Conclusion:</strong> This study allowed us to show a good clinical-echo-surgical concordance. Ultrasound is therefore an undeniable diagnostic, prognostic and therapeutic tool in the exploration of

关 键 词：Ultrasound Acute Intestinal Invagination CHILD 

分 类 号：R73[医药卫生—肿瘤]