Diagnostik und Therapie von Invaginationen bei Kindern

Zusammenfassung

Die Invagination ist eine der häufigsten Ursachen für ein akutes Abdomen im Kindesalter. Mit diesem Krankheitsbild wird auch der kinderradiologisch wenig erfahrene Radiologe konfrontiert. Ziel dieser Arbeit ist es, die typischen sonographischen Bilder der Invagination zu vermitteln und einen praktischen Leitfaden für die Therapie an die Hand zugeben. Denn auch mit geringer sonographischer Erfahrung ist die Diagnose im Ultraschall leicht zu stellen und - unter Beachtung gewisser Regeln - mit einem Einlauf oder Insufflation von Luft einfach zu behandeln.

Abstract

Intussusception is one of the most common causes of acute abdomen in children. Even radiologists who are unfamiliar with pediatric radiology encounter this problem. This paper discusses the typical sonographic indicators of intussusception and provides a practical guide for therapy. Diagnosing intussuception is easy, even for those with little experience in pediatric sonography. Taking a few rules into consideration, intussusception can be treated easily with hydrostatic or pneumatic reduction.

Key words

Intussusception, diagnosis; therapy, ultrasound, children, infants, gastrointestinal tract

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