- Most often occurs in infants between 3 and 12 months of age, peaking at approximately 6 months of age.
- Presentation often includes colicky abdominal pain, flexing of the legs, fever, lethargy, and vomiting.
- The diagnosis may be suspected on plain abdominal x-rays, which reveal an intestinal obstruction and paucity of wind in the right lower quadrant; abdominal ultrasound may establish the diagnosis; contrast enema (air or contrast reagent) is the most specific and sensitive test for diagnosis.
- The pathological location is typically ileocaecal.
- Treatment involves reduction by contrast enema (air or contrast reagent); in cases where this is unsuccessful or where peritonitis exits, surgical reduction is required including intestinal resection for cases complicated by bowel necrosis and perforation.
Other related conditions
- Large bowel obstruction
- Meckel's diverticulum
- Small bowel obstruction
- Acute appendicitis
- Assessment of abdominal pain in children
- Cystic fibrosis
- Henoch-Schonlein purpura
- Ischaemic bowel disease
- Urinary tract infections in children
- Viral gastroenteritis in children
- Volume depletion in children
Last updated: May 22, 2013