Most common cause of intestinal obstruction in 6mo-6yr
Usually occurs in 6-36 months
Due to telescoping of one part of intestine into another
Mesentery involvement > ischemia, bloody/mucous stool
Usually occurs in 6-36 months
Mesentery involvement > ischemia, bloody/mucous stool
Typically no pathological lesions
If > 6 years old, more likely to have a lead point
Lead points: Peyer patches, Meckel diverticulum, duplication cyst, polyp, tumor, hematoma, vascular malformation, parasite (eg Ascaris), Henoch-Schonlein purpura
Slight male predominance - 3:2
If > 6 years old, more likely to have a lead point
Lead points: Peyer patches, Meckel diverticulum, duplication cyst, polyp, tumor, hematoma, vascular malformation, parasite (eg Ascaris), Henoch-Schonlein purpura
Lead points: Peyer patches, Meckel diverticulum, duplication cyst, polyp, tumor, hematoma, vascular malformation, parasite (eg Ascaris), Henoch-Schonlein purpura
Rare
80% involve small bowel
70% risk of malignancy
Intussusception
Emergent
Meckel's diverticulum
Necrotizing Enterocolitis
Rectal foreign body
Volvulus
Necrotizing enterocolitis
Testicular torsion