Background: Intussusceptions is the most common cause of intestinal obstruction in young children, and delayed diagnosis may lead to bowel perforation. The objective of this study was to determine the prevalence of fever associated with intussuception ileocolic (that will need treatment to open by air enema). Design/Methods: This was a retrospective cohort study via chart review at a tertiary care center from June 2011 to May 2014 children aged 1 month to 6 years who presented with possible intussuception. Charts were reviewed for clinical signs and symptoms at presentation, and all diagnostic studies were retrieved. A pediatric radiologist reviewed all ultrasounds. Results: A total of 488 patients were suspected intussusceptions clinical and ultrasound were performed. There were 30 large bowel intussusceptions, with a mean age of 27 months and a success rate of 99 % for air enema. All of patients not presented fever at admission to the emergency department. Of the patients that the ultrasounds were negative to intussusception or ileo-ileal intussusception (458), 73 patients presented fever at the admission. Conclusion: The varying age range of many children diagnosed with intussusceptions and the high incidence of intercurrence illnesses alert health professional to suspect intussusception in children presenting with abdominal pain or crying; fever can help to rule out the intussusception and looking for other reason of the irritability state.
