Question 293 · LEK · Pediatric surgery
A 6-month-old infant was admitted to emergency dept. because of inexhaustible cry and anxiety persisting for 3 hours. The parents observed leg curling and pale skin. The child refused to take food and vomited twice since the morning. Physical examination revealed abdominal bloating and some palpable mass in the abdomen, normal body temperature, and a trace of “currant jelly-like” stool on a diaper. What is the most likely diagnosis?
- A. acute appendicitis.
- B. salmonellosis.
- C. Meckel’s diverticulum.
- D. infant colic.
- E. intussusception.
Hint
Consider the classic triad in an infant aged 6 months to 2 years: paroxysmal colicky pain, a palpable abdominal mass and bloody mucoid stool.
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