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Intussusception — RCPSC EM MCQ

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HardPaediatric emergenciesIntussusceptionRCPSC EM

Ultrasound confirms ileocolic intussusception in a 10-month-old. The child is hemodynamically stable after IV fluids, with no peritonitis, free air or sepsis. What is the definitive next treatment?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Proceed to image-guided pneumatic or hydrostatic enema reduction with pediatric surgical backup

Explanation lettering: C = shown as A · E = shown as B · A = shown as C · B = shown as E

E is first-line definitive treatment in a stable uncomplicated case. A risks progressive ischemia. B skips an effective non-operative approach. C does not reduce intussusception. D introduces an unnecessary and dangerous delay.

Reference: TREKK, Intussusception Bottom Line Recommendations: https://cms.trekk.ca/wp-content/uploads/2023/11/2024_11_13-Intussusception-BLR-v3.1-Final.pdf