De - telescoping

This is one of those rare life threatening emergencies in children in which diagnosis and management is time critical. Also, rarely, the treatment is not surgical and here is a great video by Prof Larry Mellick on air/barium insufflation of an intussusception for those who have never seen one.




More of his videos here.

Remember that:

  • most present in first 3 months of life
  • intermittent abdo pain is most common symptom
  • red currant jelly and vomiting with abdo pain is only 25% of time
  • examination while crying is of limited value
Ref: An Evidence-Based, Systematic Approach ToAcute, Unexplained,Excessive Crying In Infants. EMpractice.net