Infant with blood in stools, mass in abdomen, diagnosis is
A. Intussusception
B. Volvulus
C. Idiopathic abdominal epilepsy
D. Hirschsprung’s disease
E. Physiological.
Ans. (A) Intussusception :
• Intussusception in infants present with acute intestinal obstruction — abdominal pain, stools are stained with blood like CURRANT JELLY, abdominal mass.
So, the probable diagnosis according to the question is intussusception.
• Volvulus — pain abdomen, distension but no bloody stool.
• Hirschsprung’ s disease - No bloody stool.
• Idiopathic abdominal epilepsy-an unusual cause of recurrent abdominal pain. The patient may have prodrome. Abnormalities on EEG can be identified but may not be seen in single study.
A. Intussusception
B. Volvulus
C. Idiopathic abdominal epilepsy
D. Hirschsprung’s disease
E. Physiological.
Ans. (A) Intussusception :
• Intussusception in infants present with acute intestinal obstruction — abdominal pain, stools are stained with blood like CURRANT JELLY, abdominal mass.
So, the probable diagnosis according to the question is intussusception.
• Volvulus — pain abdomen, distension but no bloody stool.
• Hirschsprung’ s disease - No bloody stool.
• Idiopathic abdominal epilepsy-an unusual cause of recurrent abdominal pain. The patient may have prodrome. Abnormalities on EEG can be identified but may not be seen in single study.
