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Age: 18 months

Sex: Female

Indication: Abdominal pain

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Case #25


Findings

  • Rounded opacity in the right hemiabdomen along the inferior margin of the liver
  • Nonobstructive bowel gas pattern
  • No evidence of free intraperitoneal air
  • No abnormal intraabdominal mass effect or calcification


Diagnosis

  • Intussusception

Sample Report

Rounded opacity in the right hemiabdomen along the inferior margin of the liver. Recommend ultrasound to further evaluate for intussusception.

Nonobstructive bowel gas pattern.

No evidence of free intraperitoneal air.

No abnormal intraabdominal mass effect or calcification.


Discussion

  • Think about abdominal radiographs in patients for whom there is clinical concern for intussusception in three categories: normal (i.e. low suspicion for intussusception), nonspecific, and suspicious. This case is in the suspicious category
  • Ultrasound confirmed intussusception in this case


Images

Red arrows: masslike soft tissue density in the right hemiabdomen along the inferior margin of the liver.

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