Last reviewed: November 2017
Last updated: September  2017

Summary

Definition

History and exam

Key diagnostic factors

  • male gender
  • age 6 to 12 months
  • colicky abdominal pain
  • vomiting
  • lethargy/irritability in between waves of pain
  • blood per rectum/redcurrant jelly stool
  • hypovolemic shock

Other diagnostic factors

  • pallor
  • palpable abdominal mass
  • poor feeding
  • abdominal distention

Risk factors

  • male gender
  • age 6 to 12 months
  • antecedent viral illness
  • seasonal variation
  • first-generation rotavirus vaccination

Diagnostic investigations

1st investigations to order

  • abdominal plain-film x-ray
  • ultrasound
  • diagnostic enema
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Consultant Paediatric Surgeon

Leeds General Infirmary

Leeds

UK

Disclosures

JRS declares that he has no competing interests.

Dr Jonathan Sutcliffe would like to gratefully acknowledge Dr David Hackam, Dr Steven C. Gribar, and Dr Rahul J. Anand, the previous contributors to this topic. DH, SCG, and RJA declare that they have no competing interests.

Peer reviewers VIEW ALL

Staff Surgeon

Department of Pediatric Surgery

Cleveland Clinic Foundation

Cleveland

OH

Disclosures

OS declares that he has no competing interests.

Emeritus Nuffield Professor of Paediatric Surgery

Institute of Child Health

University College

London and Great Ormond Street Hospital NHS Trust

London

UK

Disclosures

LS declares that he has no competing interests.

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