A rare ileoileocolic intussusception in a four-month-old infant evaded the classic ultrasound target sign and was only identified through a newly described double-enhanced layer on contrast-enhanced

Annals of Pathology and Laboratory Medicine (APALM)

While most pediatric intussusceptions are idiopathic, secondary cases differ significantly in clinical presentation, treatment strategies, and prognosis due to the presence of pathological lead points (PLPs). Accurate PLP identification is crucial for optimizing diagnosis and treatment. This study a …

Background: Gamification, defined as the application of game design principles in nongame contexts, has garnered increasing attention for its potential to enhance motivation and engagement across various fields, including medical education and training. However, there is a lack of virtual reality (VR)–based simulations on pneumatic reduction of intussusception (PRI) in children in Brunei, thereby limiting practical training opportunities for medical students and surgical trainees. Objective: This study aims to obtain experts’ reviews of proposed gamification guidelines by conceptualizing a gamified training prototype for pneumatic reduction of intussusception. Methods: The design science research methodology (DSRM) was adopted using an iterative development approach. Guidelines for designing gamified training interventions were first identified through a prior systematic literature review. These guidelines were then implemented in the development of a low-fidelity VR prototype as a proof of concept. A qualitative formative evaluation was conducted through a semistructured focus group discussion with 6 healthcare professional participants involved in the pediatric intussusception process. Results: Participants’ formative evaluation indicated that the embedded guidelines could assist in providing effective VR simulation for PRI. The low-fidelity prototype was clear, consistent, and well-aligned with PRI procedures and processes by the participants. The prototype showed promise as an intervention to ensure and enhance trainee motivation and engagement. The overall layout was seen as appealing. Results are presented and discussed with detailed feedback and recommendations for further improvement. Conclusions: This study can be viewed as a contribution to the developing literature on the gamification of medical training by exploring the possibility of applying the guidelines to the conceptual design of a gamified training prototype. The findings indicate that the prototype and its design approach are initially accepted by experts. Subsequent research will consist of creating a high-fidelity prototype and testing it with a larger, more varied sample of participants, including surgeons and medical students, to verify its effectiveness and generalizability.

Intussusception is the most common surgical complication of IgA vasculitis. In adults, this condition requires high clinical suspicion and prompt diagnostic imaging with ultrasonography or CT, as small bowel involvement may be inaccessible by contrast enema. This case underscores the importance of r …

CONCLUSION: This study underscores the complex and multifactorial challenges in implementing ultrasound-guided hydrostatic reduction in resource-limited settings. Effectively addressing these challenges requires targeted training programs, better resource allocation, and stronger interdisciplinary collaboration.

SARS-CoV-2 and Adenovirus Linked to Childhood Intussusception Personalized briefing Top 5 discoveries · Pediatrics Temporal Association Between Viral Infections and Intussusception: Comparing SARS-CoV-2 and Adenovirus Using Self-Controlled and Case-Control Designs Dear Kathleen Raker — this week's five most relevant discoveries, curated for your work in Pediatrics. Key findings Medicine · Pediatrics No. 1 Temporal Association Between Viral Infections and Intussusception: Comparing SARS-CoV-2 and Adenovirus Using Self-Controlled and Case-Control Designs …

Heterotopic gastric mucosa (HGM) can be located in various parts of the gastrointestinal tract. As a rare anomaly in the small intestine, it can become complicated by intussusception, obstruction, gastrointestinal bleeding, and even peritonitis, ...

A decreased level of consciousness with little abdominal pain or gastrointestinal symptoms is an uncommon, but well described, presentation of infantile intussusception. Its etiology is unclear. We describe a 10-month-old male who presented with coma and miosis, reversible with bolus injections of n …

Information The paediatric surgery service at RHCYP provides emergency and elective General Surgery of childhood for Lothian for children and young people up to the age of 16 years, and specialist pae...

Background Heterotopic gastric mucosa (HGM) can be located in various parts of the gastrointestinal tract. As a rare anomaly in the small intestine, it can become complicated by intussusception, obstr...