الملخص

• 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.