skip to main content

Intussusception — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGastroenterologyIntussusceptionRACP Paediatrics

An 8-month-old has episodic severe crying, pallor and drawing up of the legs. Between episodes he is quiet; later he passes blood-stained mucus. Ultrasound shows a target sign and there is no peritonism. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: C — Radiological air or contrast enema reduction

Intussusception with a target sign and no peritonitis is managed with radiological enema reduction in a suitable setting. Appendicectomy does not treat ileocolic intussusception and would be reserved for a different diagnosis. The pearl is that intermittent pallor and lethargy may be the dominant signs in infants.

Reference: RCH Clinical Practice Guidelines: Intussusception; Therapeutic Guidelines (eTG)