Image Gallery

You Have To Sign In First
Click here to Sign In


You can answer the question shown below with a picture. Immediately after answering the question the correct answer is displayed to you. And you can see previous questions with its correct answers.


Question:
Girish Gopal, Keerthan N, Veeresh H, Sudha Rudrappa
Department of Pediatrics, Mysore Medical College and Research Institute, Mysore, Karnataka, India

Address for Correspondence: Dr. Girish Gopal, Senior Resident, Department of Pediatrics, Mysore Medical College and Research Institute, Irwin Road, Mysore – 570021, Karnataka, India. Email: girishgpl@gmail.com

A 5 year old female child presented to the emergency room with 15-20 episodes of non bilious, non-blood stained vomiting associated with mild abdominal pain of 4 hours duration prior to admission. Vomiting was not associated with fever, abdominal distension, loose stools or constipation. At admission, she was given symptomatic treatment with intravenous fluids, anti-emetics and antacids. Within 3 hours of admission, she became restless, developed severe abdominal pain and retching, progressive generalized distension of the abdomen, respiratory distress and signs of decompensated shock. We were unable to pass a nasogastric tube to decompress her abdomen. Erect x-ray abdomen showed massive dilatation of the stomach, paucity of distal gas shadow and significant pneumoperitoneum shifting the intra-abdominal viscera to the midline.

What is the diagnosis_?

Enter Verification :
   =   
Submit Answer
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.