“…Ileal caecum intussusception is common reported type 90 % of cases [ 2 ], the classic presentation of intussusception is colicky abdominal pain, vomiting and passing black carry stool [ 8 ], however in some cases may have atypical presentation which often mislead clinicians to diagnose, hence delays managements [ 5 ]. The diagnosis of intussusception is based on clinical history and examination [ 9 ], however supportive investigations such us abdominal ultrasound play a great role for about 97–100 %% accuracy, electrolyte, CBC and C-Reactive protein all used to assess patient hemodynamic status [ 7 ].…”