Concluded Case

perforation peritonitis

5 yr old child with acute abdominal pain and abdominal distension. Abdominal x ray was done. Opinion

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Concluded answer

Perforation peritonitis with features of intestinal obstruction. Needs resuscitation and urgent exploration

All Answers

Pneumoperitoneum . Football sign . Viscous perforation . Go for usg too . Will need a drain as for now .

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Multiple fluid levels Intestinal obstruction D/d 1 volvulus 2 intussusception

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Perforation peritonitis with features of intestinal obstruction. Needs resuscitation and urgent exploration

Multiple fluid levels, Gas under diaphragm ??Pneumo peritoneum

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Multiple fluid level Ac. Intestinal obstruction.

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?Pneumoperitoneum ?Bowel obstruction ? NCE

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Pneumoperitoneum. resuscitate the patient, need urgent exploration..

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