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Intussusception Reduction — RACP Paediatrics MCQ

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ModerateGastroenterologyIntussusception ReductionRACP Paediatrics

A 1-year-old presents with recurrent episodes of colicky abdominal pain, drawing up of legs, pallor, and a current jelly stool. Ultrasound shows a target sign in the right abdomen. What is the first-line treatment?

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Correct answer: D — Air enema reduction under fluoroscopic guidance

Intussusception in a stable child without peritonitis is treated with pneumatic (air) or hydrostatic reduction under fluoroscopic or USS guidance. Success rate is approximately 80-95%. Surgery is reserved for failed reduction, perforation, or peritonitis. Air enema is preferred in most Australian centres.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Intussusception