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doi:10.1111/jpc.12523
IMAGE OF THE MONTH
An intra-abdominal oval-shaped mass Question: An 8-year-old boy presented to the emergency department with a 1-week history of progressive right lower quadrant abdominal pain and fever. On examination, there was tenderness over McBurney’s point, and a 4 × 3 cm mass in the right lower quadrant was palpated. Blood tests suggested an inflammatory reaction. A plain film of the abdomen revealed a
Fig. 1
162
radio-opaque oval-shaped mass in the right lower abdomen (white arrow; Fig. 1). The parents denied the possibility that the child swallowed a foreign object; however, the parents reported that a barium upper gastrointestinal contrast study had been performed 3 weeks prior for frequent dyspepsia. What is your diagnosis and differential? (answer on page 166) Submitted by Tai-Heng Chen ([email protected]) Tai-Heng Chen Division of Paediatric Emergency, Department of Emergency, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
Plain abdominal film depicting an oval-shaped mass in the right lower quadrant of abdomen.
Journal of Paediatrics and Child Health 50 (2014) 162 © 2014 The Author Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
doi:10.1111/jpc.12523
IMAGE OF THE MONTH
An intra-abdominal oval-shaped mass Question: An 8-year-old boy presented to the emergency department with a 1-week history of progressive right lower quadrant abdominal pain and fever. On examination, there was tenderness over McBurney’s point, and a 4 × 3 cm mass in the right lower quadrant was palpated. Blood tests suggested an inflammatory reaction. A plain film of the abdomen revealed a
Fig. 1
162
radio-opaque oval-shaped mass in the right lower abdomen (white arrow; Fig. 1). The parents denied the possibility that the child swallowed a foreign object; however, the parents reported that a barium upper gastrointestinal contrast study had been performed 3 weeks prior for frequent dyspepsia. What is your diagnosis and differential? (answer on page 166) Submitted by Tai-Heng Chen ([email protected]) Tai-Heng Chen Division of Paediatric Emergency, Department of Emergency, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
Plain abdominal film depicting an oval-shaped mass in the right lower quadrant of abdomen.
Journal of Paediatrics and Child Health 50 (2014) 162 © 2014 The Author Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
