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Case #15

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Demographics: 2 years old, Female
Indication: Abdominal pain and distension

Findings

  • Dilated small bowel loops in the upper and left abdomen without distal gas
  • Small colonic stool burden
  • No abnormal intraabdominal mass effect or calcification
  • Widely spaced pubic symphysis
  • Streaky bibasilar pulmonary opacities

Diagnosis

Small bowel obstruction

Sample Report

Dilated small bowel loops in the upper and left abdomen without distal gas. Findings are concerning for a high-grade mid small bowel obstruction. Recommend surgical consultation.

Small colonic stool burden.

No abnormal intraabdominal mass effect or calcification.

Widely spaced pubic symphysis suggestive of a history of bladder exstrophy.

Streaky bibasilar pulmonary opacities, likely atelectasis.

Discussion

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