In this episode, we review intussusception, a common pediatric abdominal emergency most often seen in children 6–36 months old. We break down the pathophysiology of telescoping bowel leading to venous congestion, ischemia, and potential perforation, along with the classic presentation of intermittent severe abdominal pain, vomiting, and the late finding of currant jelly stools. The discussion highlights key diagnostic tools such as ultrasound with the "target sign," and emphasizes evidence-based management with air or contrast enema reduction.

References

1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.

2) McCollough M, Sharieff GQ. Abdominal surgical emergencies in infants and young children. Emerg Med Clin North Am. 2003 Nov;21(4):909-35. doi: 10.1016/s0733-8627(03)00090-7. PMID: 14708813.

3) Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B. Intussusception: clinical presentations and imaging characteristics. Pediatr Emerg Care. 2012 Sep;28(9):842-4. doi: 10.1097/PEC.0b013e318267a75e. PMID: 22929138.