Intussusception
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In the absence of signs of intestinal perforation or bowel ischemia, reduction with contrast enema or gas insufflation should be attempted as soon as possible following the development of symptoms. As illness progresses, the risk of bowel ischemia and bowel perforation increases and surgery is instead indicated. #ref

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Assess volume status. These children can present following several days of reduced oral intake with severe dehydration.

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Children with bowel ischemia or perforation may be shocked, requiring volume and electrolyte resuscitation, and admission to intensive care.

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