Acute vomiting and anorexia in a 4 yr old FS DSH

Acute vomiting and anorexia in a 4 yr old FS DSH

4 yr old FS DSH with acute onset vomiting (2-3 days) and anorexia for 2 days. Radiographs show a distended bowel loop with content the same radio-opacity as fecal material in the region of the ICC junction. Abdominal ultrasound shows mild gastric fluid distension.  The pyloric outflow is unobstructed.  The orad duodenum shows a small…

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