Intussusception

2 y/o pt with h/o Meckel's diverticulum presents with acute onset RLQ tenderness. Pain is colicky and parents report concomitant onset of vomiting, red stools. Palpable abdominal mass, currant-jelly stool in diaper on exam.

• Obtain CBC, CMP

• Ultrasound shows target sign at ileocecal junction

• Perform pneumatic enema

• Parent's advised that intussusception recurs in 10% of cases

Notes

• Most common form of intestinal obstruction between 6 and 36 months of age

• 90% of classes occur at the ileocecal junction

• Pneumatic (air) enema is diagnostic and therapeutic