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In this Surgery 101 video episode, 4th year medical student Alessia Gallipoli provides an introduction to the broad differential diagnosis of bowel obstruction in pediatric patients. After listening to this episode, you should be able to: 1. Describe the assessment of the child with intestinal obstruction 2. List the common causes of intestinal obstruction in the child 3. Develop an approach to narrowing down your diagnosis Pediatric bowel obstructions are one of the most common surgical emergencies in children, and imaging plays a vital role in the evaluation and diagnosis. An evidence-based and practical imaging approach to diagnosing and localizing pediatric bowel obstructions is essential for optimal pediatric patient care. This article discusses an up-to-date practical diagnostic imaging algorithm for pediatric bowel obstructions and presents the imaging spectrum of pediatric bowel obstructions and their underlying causes.