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Intussusception — RCPSC EM MCQ

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ModeratePaediatric emergenciesIntussusceptionRCPSC EM

An 8-month-old boy has intermittent episodes of screaming, drawing up his legs, and vomiting. Between episodes he appears pale and lethargic. Stool is heme positive and ultrasound shows a target sign. What is the most appropriate next step?

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Correct answer: D — Air or contrast enema reduction with surgical backup

The target sign confirms intussusception. In a stable child without peritonitis, pneumatic or contrast enema reduction with surgical backup is first-line therapy.

Reference: Canadian Paediatric Surgery Network practice; CPS emergency care