{"title":"You Bowel Believe It!","authors":"Caleb Ward MD, BChir , Alyssa Abo MD","doi":"10.1016/j.cpem.2019.100721","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>A 2-year-old previously healthy girl presented to the emergency department with sudden onset of nonbilious emesis and severe abdominal pain. Her clinical examination and point-of-care ultrasound were consistent with a </span>small bowel obstruction<span><span>. She had sonographic evidence of free fluid in the abdomen and subsequently developed hemodynamic instability. Further imaging was suggestive for a </span>congenital anomaly causing her obstruction. She was ultimately diagnosed with an omphalomesenteric duct remnant, confirmed during an </span></span>exploratory laparotomy.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100721"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100721","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatric Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1522840119300710","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
A 2-year-old previously healthy girl presented to the emergency department with sudden onset of nonbilious emesis and severe abdominal pain. Her clinical examination and point-of-care ultrasound were consistent with a small bowel obstruction. She had sonographic evidence of free fluid in the abdomen and subsequently developed hemodynamic instability. Further imaging was suggestive for a congenital anomaly causing her obstruction. She was ultimately diagnosed with an omphalomesenteric duct remnant, confirmed during an exploratory laparotomy.
期刊介绍：
This practical journal is devoted to helping pediatricians and emergency physicians provide the best possible care for their young patients. Each topical issue focuses on a single condition frequently seen. Cogently written review articles synthesize practical new advances in the field giving you the authoritative guidance on disease process, diagnosis, and management you need to achieve the best results.
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