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- Title
Ileocolic intussusception in pediatric SARS-CoV-2 patients: experience at a tertiary pediatric center.
- Authors
Salman, Rida; Sher, Andrew C.; Sammer, Marla B. K.; Rodriguez, J. Ruben; Shah, Sohail R.; Seghers, Victor J.
- Abstract
Purpose: COVID-19 disease can manifest with intussusception in pediatric patients, but prevalence of abnormalities on ultrasounds performed for intussusception is uncertain. We aim to report our experience in children with COVID-19 presenting with suspected intussusception imaged with ultrasound. Methods: Children under 18 years who had an ultrasound for possible intussusception underwent retrospective analysis and were tested for COVID-19 between April 1 and December 14, 2020. Patients' demographic, clinical, radiological and surgical characteristics were reviewed. Results: Twenty-four COVID-19-positive patients were identified; 19 boys with mean age 3 years (range: 3 months–18 years). Ultrasound was abnormal in 11 patients (11/24, 46%). Sonographic features of enterocolitis were documented in seven children (7/24, 29%). Three boys (3/24, 13%) were found to have ileocolic intussusception on ultrasound and underwent air enema with failed reduction (3/3, 100%), precipitating surgical reductions, all with favorable outcomes. One patient (1/24, 4%) was found to have a long segment of persistent small bowel–small bowel intussusception which was surgically repaired. Conclusion: Given the known association between failed reduction at air enema and delayed presentation, heightened awareness for intussusception in the setting of COVID-19 should be maintained, though more often, the etiology was attributed to other GI manifestations of COVID-19.
- Subjects
CHILD patients; PATIENTS' attitudes; INTESTINAL intussusception; ENEMA; COVID-19; SMALL intestine; ULTRASONIC imaging
- Publication
Pediatric Surgery International, 2022, Vol 38, Issue 3, p437
- ISSN
0179-0358
- Publication type
Article
- DOI
10.1007/s00383-022-05061-x