A 10-month-old boy presents with episodic severe colicky abdominal pain and leg flexion, followed by bilious vomiting and lethargy. Vitals show HR 128/min, RR 26/min, BP 95/60 mmHg, and temp 38.2°C. He has passed bloody stools with a currant jelly appearance. Abdominal ultrasound demonstrates a target sign in the right abdomen. CBC shows mild leukocytosis (WBC 13,200/μL). There is no fever preceding symptom onset. Which of the following is the most likely diagnosis?
- A)Hypertrophic pyloric stenosis
- B)IntussusceptionGABARITO
- C)Meckel diverticulum
- D)Necrotizing enterocolitis
- E)Hirschsprung disease
Explicação
Intussusception is telescoping of bowel commonly following enlargement of Peyer patches after viral infection in infants. Ver explicação completa e trilha adaptativa →