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