A 9-year-old boy presented with a sudden onset of colicky , mainly infra-umbilical , abdominal pain of a 4-hour duration. He had a grossly distended abdomen and experienced two episodes of non-bilious vomiting . His parents reported that he had normal bowel movements daily before joining the school, after which, the bowel movement became every 2-3 days.
The child had a similar attack, a month before the current presentation, and a rectal tube deflation was done in a hospital. Physical examination Physical examination revealed - Tachycardia Gross abdominal distention Pain while holding the abdomen No direct or rebound tenderness The abdomen was hyper-tympanic to percussion Elevated bowel sounds No palpable mass on deep palpation Per-rectum examination: Empty rectum No stool or blood on examining finger Radiographic investigations Plain abdominal radiography, ultrasound, and…
