In this section
Abdominal Pain - Acute
Analgesia and Sedation
Intussusception is the invagination (telescoping) of a proximal segment of bowel into the distal bowel lumen. The commonest site is a segment of ileum moving into the colon through the ileo-caecal valve. This process leads to bowel obstruction, venous
congestion and bowel wall ischaemia. Perforation can occur and lead to peritonitis and shock.
All cases of suspected intussusception
Child requiring care beyond the capability of the hospital
Note: When transferring infants or children with possible surgical conditions, ensure they have adequate analgesia, venous access and intravenous fluids prior to transfer, as third space losses can be large and lead to haemodynamic collapse. Consider a nasogastric tube on free drainage if
transferring by air.
For emergency advice and paediatric or neonatal ICU transfers, see
Abdominal PainReducing your child’s pain during investigations and proceduresPain relief for childrenIntussusception
Last Updated August 2019