Abstract. Acute intestinal obstruction in children is a serious clinical condition that requires timely diagnosis to ensure effective management and improved prognosis. Ultrasonography, due to its non-invasiveness and real-time imaging capabilities, has become one of the most valuable diagnostic tools in pediatric practice. This study explores the role of comprehensive ultrasonographic techniques in identifying different types of intestinal obstruction among pediatric patients. Through clinical evaluation of 100 pediatric cases, this paper demonstrates the diagnostic efficiency, interpretative criteria, and practical relevance of sonographic findings. This work contributes to clinical best practices and advocates for ultrasonography as a first-line diagnostic modality in children with suspected intestinal obstruction.