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Xray

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Apr 3, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    what is your medical diagnosis ?

    Xray.jpg
     

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  2. bb100

    bb100 Bronze Member

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    mechanical bowel obstruction due to volvulus of the sigmoid colon .
     

  3. neo_star

    neo_star Moderator

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    can't see the classic cofee bean of sigmoid volvulus, and so i will keep Hirschsprung's as a possibility and a really advanced one, becos the entire colon seems to be super-dilated. the pelvis is not visible and so the classic "cut-off" sign is not seen. I guess the abdomen was so distended that it led to a shortage of real estate ( read - x ray plate was not large enough ) :wink:

    another possibility is necrotising enterocolitis.

    or

    this could be a case of Hirschsprung's complicated by necrotising enterocolitis.
     

  4. Hasan

    Hasan Bronze Member

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    Hirschsprung disease most likely
     

  5. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Hirschsprung disease.
     

  6. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Intestinal Obstruction for DD
     

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