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BACKGROUND
A 2-year-old toddler presents with episodes of severe, intermittent, colicky abdominal pain, during which he draws up his legs. The boy has no past history of illness.
Physical examination reveals a palpable, tender, and ill-defined mass on the right side of his abdomen. The patient also has mild pyrexia, tachycardia, and mild leukocytosis. Laboratory tests reveal that levels of the inflammatory markers and bilirubin levels are mildly elevated. These findings suggest intussusception.
Imaging studies are performed. What is the diagnosis? |
Hint
Why is the bilirubin level elevated? The sonographic findings establish the diagnosis. |
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Author:
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Ali Nawaz Khan, MBBS, FRCP, FRCS, FRCR, Lecturer, Department of Diagnostic Radiology, Faculty of Medicine, University of Manchester, and Sri Priya Suresh, MBBS, MRCP, Specialist Registrar, Department of Radiology, North Manchester General Hospital NHS Trust, UK
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North Manchester General Hospital, Crumpsall, Manchester M86RB, UK
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eMedicine Editor:
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Sat Sharma, MD
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Associate Professor, University of Manitoba, Department of Medicine, Division of Pulmonary Medicine
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