Case Presentation: Abdominal Mass at 30 Months
EB was lost to follow-up and is now 30 months old. He presents with a 2-day history of intermittent nausea and vomiting that has become severe and persistent over the past 24 hours. His last bowel movement was 3 days ago.
On physical examination, he appears uncomfortable, his mucous membranes are dry, and he is tachycardic. His abdomen is distended and diffusely tender. A mass is appreciable in the right lower quadrant.
On reexamination, the mass seems to have moved a few centimeters. An abdominal radiograph shows dilated loops of small bowel, and ultrasonography confirms a mass near the ileocecal valve.
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