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?
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2 comments:
intussusception (always a challenge to spell correctly!)
yep! should be a spelling bee word
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See the Stars
This is intussusception, the invagination of a part of the intestine into itself.
Sources: UpToDate; Wikipedia.
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