The patient is a 2 ½-year-old child whose parents report recurrent episodes of abdominal pain without vomiting or diarrhea.
On exam, you note fullness of the abdomen.
View the image taken (Figure 1) and consider what your diagnosis and next steps would be.
Resolution of the case is described on the next page.

Insights In Images

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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