First one with correct answer with justification win.

 

[size=20px]A two-year old boy is diagnosed with intussusception and undergoes a successful air reduction enema. Six hours later he develops the same symptoms. After ultrasound confirmation of recurrent intussception, the most appropriate next step in management is

 

A observation.

 

B intraveous steroids.

 

C air reduction enema.

 

D laparoscopic reduction.

 

E laparotomy and reduction.[/size]

C

C air reduction enema

The correct answer

C air reduction enema.

c

Early recurrence after successful reduction can usually be treated with another image-guided air enema, provided the child is clinically stable and has no peritonitis or bowel perforation. Recurrence after six hours alone is not an indication for surgery