Ultrasound Case ReviewTerminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care UltrasonographyRiera, Antonio MD*; Langhan, Melissa MD*; Silva, Cicero Torres MD†Section Editor(s): Deanehan, J. Kate MD, RDMS; Associate Editor Author Information From the *Section of Pediatric Emergency Medicine, Department of Pediatrics †Section of Pediatric Radiology, Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut. Disclosure: The authors declare no conflict of interest. Reprints: Antonio Riera, MD, Section of Pediatric Emergency Medicine, Department of Pediatrics, Yale University School of Medicine, 100 York Street, Suite 1F, New Haven, CT 06511 (e-mail: email@example.com). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.pec-online.com). Online date: August 20, 2019 Pediatric Emergency Care: January 2020 - Volume 36 - Issue 1 - p e30–e32 doi: 10.1097/PEC.0000000000001879 Buy SDC Metrics Abstract Point-of-care ultrasound can be used in the initial workup of ileocolic (IC) intussusception. In general, these lesions require immediate attention and reduction to prevent ischemic bowel injury. We discuss the case of a 27-month-old boy whose IC intussusception was found to spontaneously reduce before a radiology performed ultrasound and the planned air enema reduction procedure. Radiology ultrasound revealed significant inflammatory changes of the terminal ileum. The incidence of spontaneous reduction of IC intussusception is not definitively known. It is important to be familiar with the possibility of spontaneous reduction as children are often referred to academic centers for radiological or surgical reduction. This may also impact the sensitivity of studies that evaluate test characteristics of point-of-care ultrasound compared with radiology performed ultrasound for the diagnosis of IC intussusception. We review the diagnostic technique for IC intussusception and the importance of a prereduction ultrasound immediately before image-guided pressure reduction attempt. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.