Intussusception is a leading cause of intestinal obstruction (IO) in children. A study from Nigeria reported 29% of IO from intussusception, 22% from ARM and 17% from obstructed PIH. The incidence is South Africa is comparable to HICs at 56/100,000 < 1-year compared to 33-49/100,000 < 1-year in the US. Published studies suggest institutions in SSA see at least one case/ month.