Young child with 3 days of constipation

Diagnosis: The finding in the left upper quadrant is a concern, but does not point conclusively to a diagnosis.
The bowel is dilated and cannot be identified clearly as being the small or large bowel. Also, there is a loop-like form to this distended bowel.

This finding is most likely pathological and is consistent with intussusception. Again, however, an exact diagnosis is elusive. With such a finding, even with an asymptomatic child, it is best to refer.
Case presented by Nahum Kovalski, BSc, MDCM.
[taq_review]

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services