|
I. History of bile-stained vomiting and either
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Age <1 year and male sex
|
|
II. Examination findings of acute abdominal distension and abnormal or absent bowel sounds
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Abdominal pain
|
|
or
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Vomiting
|
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III. Plain abdominal radiograph showing fluid levels and dilated bowel loops.
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Lethargy
|
|
2. Features of intestinal invagination: One or more of the following:
|
Pallor
|
|
I. Abdominal mass
|
Hypovolemic shock;
|
|
III. Rectal mass
|
Plain abdominal radiograph showing an abnormal but non-specific bowel gas pattern
|
|
IIII. Intestinal prolapse
|
|
IV. Plain abdominal radiograph showing a visible intussusceptum or soft tissue mass
|
|
V. Abdominal ultrasound showing a visible intussusceptum or soft tissue mass
|
|
VI. Abdominal CT scan showing a visible intussusceptum or soft tissue mass.
|
|
3. Evidence of intestinal vascular compromise or venous congestion:
|
|
I. Passage of blood per rectum
|
|
or
|
|
II. Passage of a stool containing “red currant jelly” material
|
|
or
|
|
III. Blood detected on rectal examination
| |
