- Patient preparation: none
- Contrast used: barium or high osmolar water soluble to make enema therapeutic as well as diagnostic, dilute contrast using 1 part contrast : 2 parts sodium chloride if < 1 year old or 2 parts tap water if > 1 year old
- Technique: short enema tip if possible to help look for ultrashort Hirschsprung disease, tape tip in securely, start contrast with patient in a lateral position, turn the patient then to supine and then to prone in order to opacify the entire colon with contrast and reflux the terminal ileum
- Images to obtain:
— Scout – AP abdomen and lateral rectum
— Lateral image of rectum once it is distended with contrast
— Images of any transition zone
— AP abdomen and lateral rectum once entire colon is opacified - Looking for: transition zone
- Post procedure tasks: none
Pediatric Imaging 