Case Presentation A 17-month-old female child presented to the outpatient department with a one-week history of an intra-abdominal mass and abdominal pain. The caregivers reported that the mass was progressively increasing in size and associated with significant discomfort, prompting medical evaluation.
History of Present Illness Mass initially located in the midline, later shifted to the right hypochondrium Progressive increase in size of the mass Pain localized to right hypochondrium Pain severity: 10/10 Associated low-grade fever (up to 99°F) Child was irritable and cried on touch Associated Symptoms Decreased stool frequency (once every 2 days) Hard stool consistency Poor oral intake Generalized weakness No history of nausea or vomiting Physical Examination Palpable abdominal mass Soft in consistency Mobile Regular borders Tender on palpation Investigations Ultrasound Findings Large…
