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Image of the Month—Diagnosis
Mounir Kisra, MD;
Fouad Ettayebi, MD;
Driss El Azzouzi, MD;
Mohamed Benhammou, MD, PhD
Author Affiliation: Department of Pediatric Surgery, Rabat University Children's Hospital, Rabat, Morocco.
Arch Surg. 2006;141:1045.
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INTRODUCTION
A 14-year-old boy was brought to the Department of Pediatic Surgery at Rabat University Children's Hospital with an 8-day history of abdominal cramping, pain, and bile-stained vomiting. During the past 6 months he had experienced episodes of abdominal distention, constipation, and bile-stained vomiting and 1 episode of hematemesis and rectal hemorrhage 3 days before his admission. He weighed 37 kg; although his abdomen was not distended, the upper abdomen was tender, with normal bowel sounds and no palpable mass. The results of laboratory examinations were all normal. An abdominal radiograph did identify an abnormally dilated loop of the small bowel. Investigations were performed, including esophagogastroduodenoscopy, which identified gastric ulcerations caused by vomiting. A small-bowel meal revealed mildly dilated small-bowel loops and a large lucent shadow in the upper abdomen (Figure 1). Abdominal ultrasonography and . . . [Full Text of this Article]
What Is the Diagnosis?
RELATED ARTICLE
Image of the Month—Answer
Arch Surg. 2006;141(10):1046.
EXTRACT
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