Approach

History

Up to 75% of cases occur in children under the age of 12 months.[10][13] Patients should be assessed first with a complete history and physical examination with a focus on the nature of abdominal pain (colicky versus constant), the presence of redcurrant jelly stools, and the presence or absence of vomiting. Almost all infants with intussusception present with abdominal pain and vomiting. The classic symptom of redcurrant jelly stool or rectal bleeding is present in 35% to 73% of cases.[5][10][13] Progressive lethargy is often associated, and patients may have a history of a recent viral illness.[5]

BMJ Best Practice is an evidence-based point of care tool for healthcare practitioners.

To continue reading and access all of BMJ Best Practice's pages you'll need to log in or start a free trial.

You can access through your institution if your hospital, university, trust or other institution provides access to BMJ Best Practice through either OpenAthens or Shibboleth.

Use of this content is subject to our disclaimer