🎯 INTUSSUSCEPTION ✅ In the usual pediatric intussusception, ultrasound demonstrates: 🎯 Target / doughnut sign on transverse imaging 🥪 Pseudokidney / sandwich sign on longitudinal imaging 🔄 Invaginated bowel and mesenteric fat 🩸 Variable mural vascularity on Doppler Most pediatric cases occur in infants and younger children and are typically ileocolic. In an older child with small-bowel intussusception, particularly ileo-ileal, a pathological lead point deserves a careful search—Meckel’s diverticulum, polyp, lymphoma, duplication cyst, etc. Also look for bowel wall oedema, proximal dilatation, altered peristalsis, mesenteric fat changes, free fluid and reduced/absent vascularity suggesting bowel compromise. And if a persistent intussusception is missed or neglected: Venous congestion → oedema → ischemia → necrosis → perforation → peritonitis/sepsis. So, the lesson from this case? When an older child points to the pelvis, don’t assume the pelvis is the problem. Sometimes, t...