['Children with intussusception require rapid and accurate diagnosis to enable timely intervention for satisfactory outcome. Ultrasonography is the recommended standard diagnostic modality; however, abdominal radiography (AR) is still used as an initial investigation. The aim of this study was to investigate the benefit of AR in intussusception by determining diagnostic accuracy and analysing correlation of AR findings with outcome.', 'Index cases of intussusception presenting over 15\xa0years (1998-2013) were analysed. Those who had AR performed were allocated into groups with positive or normal findings. Outcome of pneumatic reduction of intussusception (PRI) between these groups was compared.', 'Six hundred and forty-four cases of intussusception treated with PRI were identified, 412 (64\xa0%) had AR performed and 232 (36\xa0%) did not. 303 (74\xa0%) radiographs had positive findings and 109 (26\xa0%) were normal. The success rate of PRI did not differ between AR positive (82\xa0%) and AR normal (84\xa0%). Occult pneumoperitoneum was not detected in any patient by AR in our cohort.'] Is abdominal radiography necessary in children with intussusception?