Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 6-month-old infant was presented with complaints of constipation and a protruding rectal mass. Physical examination Poor tolerance to feed with no episodes of vomiting Dehydrated and ill-looking A smooth and non-tender suprapubic mass was felt in the abdomen, which was not distended and soft to palpation.
Digital examination Rectal examination revealed rectal mucosa protrusion and a big smooth mass positioned anteriorly that did not connect with the rectal lumen and did not induce anal skin excoriation. Surgical management Fluid resuscitation was initially performed after parental consent was obtained. During the emergency exploratory laparotomy, a cystic tumor was discovered retrovesically but…
