what
bowel invaginates into itself
thickens overall size of bowel and narrows lumen in folded area
obstruction of passage of feces
most often seen in
infants 6mo-2yrs
more common in boys
assoc conditions
concurrent viral illness HSP CF intestinal polyps meckel's diverticulu
presentation
severe, colicky abdo pain pale, lethargic, unwell child redcurrant jelly stool RUQ mass - sausage shaped vomit intestinal obstruction
initial Ix
USS - target sign
Ix options
USS
contrast enema
Mx
therapeutic enema
surgical reduction
complications
obstruction
gangrenous bowel
perforation