Bedside
Rounds

Case #156Pediatrics

Screaming Episodes and Bloody Stool in a Baby

Screaming Episodes and Bloody Stool in a Baby
At a glance
HR 168 bpm BP 75/45 SpO2 98% Abdominal Ultrasound: Target sign (3.2cm) & pseudokidney sign

"9M with episodic screaming, knee-drawing & bloody stool."

Patient History

A 9-month-old male infant presents with sudden screaming episodes and pulling his legs up to his stomach every 15-20 minutes. He vomited twice and passed reddish jelly-like stool about an hour ago.

Clinical Examination & Labs

Physical exam reveals a sausage-shaped right upper quadrant abdominal mass and Dance sign.

Diagnostic Management Pathway

Select the optimal evidence-based clinical intervention for this case:

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