Monday, March 3, 2014

See the Stars

A 1 year old boy is brought in by his mother because he suddenly developed intermittent episodes of inconsolable crying. He draws his legs up towards his abdomen during these episodes which happen at 15-20 minute intervals. He initially had non-bilious emesis, but over the last hour, this has become bilious. Between episodes, the child behaves relatively normal.

He had an uneventful birth at full term. He has received all his vaccinations. You feel a sausage-shaped mass on the right side of abdomen.

Challenge: What's the diagnosis?

First image shown under GNU Free Documentation License. Second image shown under Creative Commons Attribution Share-Alike License.


tree said...

intussusception (always a challenge to spell correctly!)

Craig Chen said...

yep! should be a spelling bee word
See the Stars

This is intussusception, the invagination of a part of the intestine into itself.

Sources: UpToDate; Wikipedia.