1. Intussusception is the most common cause intestinal obstruction in infants between 6 and 36 months of age.
2. It usually presents with intermittent abdominal pain and sometimes vomiting, however lethargy or altered mental status can be the initial presenting sign.
3. In any infant or child presenting with altered mental status, think of intussusception as possible etiology.
4. In stable patient with no signs of perforation who has signs of intussusception, nonoperative reduction is recommended.
5. Surgical treatment is the primary intervention for patients who are unstable or have evidence of perforation.