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Intermittent Intussusception — RACP Paediatrics MCQ

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ModerateGastroenterologyIntermittent IntussusceptionRACP Paediatrics

A 2-year-old presents with episodic screaming, pulling knees to chest, vomiting, and pallor. Between episodes he appears well. No bloody stool yet. USS shows no intussusception. What should be done?

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Correct answer: E — Observe closely with serial clinical assessments and repeat USS; intussusception may be intermittent

Intermittent intussusception may not be present on initial USS. If the clinical history is strongly suggestive, serial assessments and repeat USS (or air enema if high clinical suspicion despite negative USS) are appropriate. Do not discharge without adequate observation.

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