Case presentation A 4-year-old boy presented with a complaint of a 1-day onset of nausea and vomiting that had progressed to periumbilical abdominal pain radiating to the right lower quadrant. He appeared well-developed and well-nourished. He was alert and presented no neurologic deficits. He produced mucous vomit during the examination.
He exhibited tenderness upon palpation over the periumbilical and right lower quadrant regions of the abdomen. Physical examination: Blood pressure - 117/79 mmHg Pulse - 118 beats/min Respiratory rate - 22 breaths/min Laboratory tests: Hematocrit - 26.2 (32-42.0%) Aspartate aminotransferase - 70 (26-55 U/L) Alanine aminotransferase - 257 (<56 U/L) Image shows: MRI of the proximal portion of the body What is your most likely diagnosis for this patient? Source : Case Reports in Pediatrics ##Disclaimer## The content provided on Docplexus is intended for…
