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Resolution
The finding in the left upper quadrant is a concern. 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. With such a finding, even with an asymptomatic child, it is best to refer.
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM.
Clinical Challenge 2: June 2007
Nahum Kovalski, BSc, MDCM
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