8 yr old female with pain in abdomen and distension of abdomen.. diagnosis??

Obstruction due to sigmoid volvulus. Ct to confirm. Agree with trying conservative management. If no peritonitis sigmoidoscopy decompression and flatus tube across point of twist. Definitive will be surgery
Intestinal obstruction ! Likey ceacal volvulus ! Ryles tube to decompress stomach and foleys to monitor urine output! Laparotomy!!
Small intestinal Obstruction. May b intussuception ...... Try to do conservative management... RT tube... NBM... Anal suppositry... And other symptomatic... If patient not respond to the treatment then Adv for surgical openion... For laprotomy
Sigmoid volvulus. Is there any volvulus in the region of the hepatic flexure? @Sudipta Samanta
this is a SBO probably. because 1. centrally distributed 2. multiple air-fluid level 3.valvulae conniventes can be seen.

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Gas distended intestinal loops with multiple fluid levels. Intestinal obstruction.
Small gut obstruction needs laparotomy if conservative trt fails
Its a case of intestinal obstruction.
It seems like volvulus of gut
Intestinal obstruction
Intestinal obstruction
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