Intussusception classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]

Overview

Intussusception may be classified into several subtypes based on location and etiology. According to location of intussusception it is classified into ileocolic, ileo-ileo-colic, jejuno-jejunal, jejuno-ileal, and colo-colic. According to etiology of intussusception it is classified into idiopathic or lead point (pathologic) types.

Classification

  • Intussusception can be classified according to various parameters:-
    • Classification of intussusception based on its location:-
      • Ileocolic intussusception[1]
        • 90% cases.
        • It involves the ileocecal junction.
      • Ileo-ileo-colic
      • Jejuno-jejunal
      • Jejuno-ileal
      • Colo-colic
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Types
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ileocolic
 
 
 
Ileo-Ileo-Colic
 
 
 
Jejuno-jejunal
 
 
 
Jejuno-Ileal
 
 
 
Colo-Colic
  • Classification based on etiology
    • Intussusception can be classified into 2 types based on etiology:
      • Idiopathic:
        • In the idiopathic type there is no clear trigger point.
        • Most commonly seen in children.
      • Lead point:
        • In the lead point type there is a clear pathologic trigger.
        • Most commonly seen in adults.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Children
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Idiopathic- no lead point
 
 
 
Pathologic- Lead point

References

  1. Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B (2012). "Intussusception: clinical presentations and imaging characteristics". Pediatr Emerg Care. 28 (9): 842–4. doi:10.1097/PEC.0b013e318267a75e. PMID 22929138.