Question 1

Question

A 9-month-old male infant is brought to the emergency department with a 6-hour history of intermittent, severe, colicky crying episodes lasting 2–3 minutes each, separated by periods of normal behavior. He has vomited twice and passed one stool described as 'currant jelly.' On examination, he is afebrile, with a soft abdomen but a palpable sausage-shaped mass in the right upper quadrant. An abdominal ultrasound confirms the clinical suspicion. The infant is hemodynamically stable with no peritoneal signs. Which of the following is the most appropriate next step in management?

Accepted Answer

Air-contrast or water-soluble contrast enema for both diagnostic confirmation and therapeutic reduction

Answer

Emergent surgical laparotomy due to the presence of bloody stool indicating bowel ischemia

Answer

Barium enema under fluoroscopic guidance as the preferred first-line reduction method

Answer

Nasogastric decompression and intravenous antibiotics followed by reassessment in 4 hours

Answer

CT scan of the abdomen with contrast to better characterize the mass before any intervention

Vaccines — MCQs

Vaccines — MCQs

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