Vignette says a 24 month old male child presents to the emergency department with chief complaints of intermittent episodes of abdominal pain, and multiple episodes of vomiting over the past 8 hours; The abdominal pain is severe and crampy in nature lasting for few minutes, which resolves spontaneously and recur every 15-30 minutes, during the pain the child draws his knees to his chest and cries intensely; His mother also noticed reddish mucus like stool in diaper over the past hours; His mother notes that the child had acute gastroenteritis 7 days back and was managed with ORS and probiotics at home; The child is irritable and anxious; Abdominal examination shows soft, mild distended abdomen with sausage shaped mass on palpation in right upper quadrant; Abdominal ultrasonography shows target sign; Diagnosis?
Etiologies are meckel’s diverticulum, hypertrophy of payers’ patches, and mass.
Presents with severe colicky abdominal pain, vomiting, bloody stool, right hypochondrium sausage shaped mass on palpation and emptiness in the right lower quadrant (Dance sign); The child draws the legs up to the abdomen during the episode of abdominal pain.
Diagnosis:-
1. Abdominal x-ray (i.e. erect and supine) shows signs of bowel obstruction.
2. USG shows target sign or Bull’s eye sign.
3. Air enema is both diagnostic and therapeutic.
Management:-
1. Air enema is both diagnostic and therapeutic.
2. Surgical reduction if air enema fails, signs of peritonitis or perforation presentation.
1. Abdominal x-ray (i.e. erect and supine) shows signs of bowel obstruction.
2. USG shows target sign or Bull’s eye sign.
3. Air enema is both diagnostic and therapeutic.
1. Air enema is both diagnostic and therapeutic.
2. Surgical reduction if air enema fails, signs of peritonitis or perforation presentation.
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