In HIC mortality is low at 0.1% in Europe and 0.4% in the US. Mortality rates in SSA vary widely and have been reported at 0 - 55%. The average mortality rate across SSA is 9.4%. There are a number of challenges to managing a child with intussusception in SSA. They often present late; 92% patients in Ile-Ife, Nigeria, present >24 hours. In Kenya the main duration of symptoms at presentation was 5 days (1-14). It was noted that the median delay for those who died (6.4%) was 5-days versus 3-days in those who survived. Surgical site infections following laparotomy for intussusception have been reported as high as 37.5%.