Fig. 1
Intussusception of proximal bowel into distal bowel causing obstruction (Source: Aleksander P. Remesz, Creative Commons Share-Alike Unported 3.0 license. https://upload.wikimedia.org/wikipedia/commons/thumb/9/9e/Intussusception_EN.svg/2000px-Intussusception_EN.svg.png. Downloaded 17 Dec 2013)
4.
Clinical Findings:
(a)
History:
(i)
Intermittent severe colicky abdominal pain.
(ii)
Vomiting.
(iii)
Fever.
(iv)
Currant jelly stool.
(v)
Lethargy.
(vi)
Recent upper respiratory infection or viral gastroenteritis.
(b)
Physical Exam:
(i)
Palpation of a sausage-shaped mass, typically in the right upper quadrant (RUQ).
(ii)
Palpation of an empty right lower quadrant (RLQ): Referred to as “Dance’s sign”.
(iii)
Appearance of dehydration.
(iv)
If the patient is completely obstructed abdominal distention and/or peritonitis may be present.
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