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Ultrasound-guided Hydrostatic Reduction of Childhood Intussusception: Technique and Demonstration1

Pek Lan Khong, FRCR, Wilfred C. G. Peh, FRCR, Christina H. L. Lam, DCR, Kwong Leung Chan, FRCS, Wei Cheng, FRCS, Wendy W. M. Lam, FRCR, Victor H. G. Ai, FRCR, Htut Saing, FRCS, Paul K. H. Tam, FRCS, Lilian L. Y. Leong, FRCR and Louis C. K. Low, FRCP

1 From the Departments of Diagnostic Radiology (P.L.K., W.C.G.P., C.H.L.L., W.W.M.L., V.H.G.A., L.L.Y.L.), Surgery (K.L.C., W.C., H.S., P.K.H.T.) and Pediatrics (L.C.K.L.), The University of Hong Kong and Queen Mary Hospital, Hong Kong. Received November 17, 1999; revision requested May 9, 2000; revision received May 31; accepted June 7.



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  		Figure 1. The plastic enema ring is shown together with the Foley catheter, which is connected by plastic tubing and a three-way tap to a pressure gauge and a 50-mL syringe.

 


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  		Figure 2. The child is placed in the plastic enema ring, and an 18-F Foley catheter is inserted into the rectum.

 


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  		Figure 3. Continuous US guidance is provided during hydrostatic reduction. During the procedure, the child's buttocks are held together to form a tight seal to reduce leakage of fluid.

 




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