Case challenge · Pediatrics / Pediatric surgery / Emergency · teaching

Intussusception (Pediatric) — Management Pathway · case challenge

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Case #1Pediatrics / Pediatric surgery / Emergency

📋 Case data

Peritonitis/perforation/shock?Peritonitis/perforation/shock

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Step 1 / 1 · Peritonitis/perforation/shock?

Any peritonitis/perforation/shock?

💡 Telescoping of bowel (usually ileocolic), the most common cause of bowel obstruction in infants/toddlers 6 months–3 years. The triad (intermittent abdominal pain + currant-jelly stool + vomiting/sausage-shaped mass) is complete in only ~15–25%; lethargy may be the only feature; vomiting turns from non-bilious to bilious, currant-jelly stool is a late sign. Diagnosis: ultrasound first-line — target/doughnut sign (CT for the lead point in adults).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.