A 9 months old girl is presented with PR bleed, vomiting, mass & colicky pain in Rt lumbar region with masked liver dullness. She is in shocklike condition. Management should includes
High-Yield Explanation
.Intussusception Mostly between 6-11 months of age Features:intermittent colicky abdominal pain,vomiting,bloody mucous stools(current jelly) History of recent change of milk formula,upper respiratory tract infection,vaccination may be present. Sausage shaped mass maybe palpable on right quadrant of abdomen...iliac fossa may appear empty it is a surgical emergency but aim is reduction of the obstructed bowel.in intussusception of sho duration hydrostatic pressure of the barium enema or saline enema usually relieve it. ESSENTIAL PEDIATRICS,O.P.GHAI,PG NO:259,7 th edition