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Intussusception — MRCPCH FOP MCQ

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HardGastroenterologyIntussusceptionMRCPCH FOP

An 8-month-old boy has intermittent screaming episodes, vomiting and pallor. His abdomen is soft between episodes, ultrasound shows a target sign and he has no signs of peritonitis. What is the most appropriate management?

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Correct answer: D — Air or contrast enema reduction by an experienced team

The ultrasound target sign confirms intussusception, and enema reduction is appropriate when there is no perforation or peritonitis. Appendicectomy is not the treatment for ileocolic intussusception. Waiting for redcurrant jelly stool is unsafe and unnecessary. The pearl is that children may look well between painful episodes.

Reference: APLS; NICE CKS Gastroenteritis differential diagnosis