An 18-month-old presents with Abdominal Distention, vomiting, and diarrhea. An X-ray reveals radiopaque objects and dilated bowel. What’s the next step?
A previously healthy 18-month-old girl was brought to the emergency department with sudden-onset abdominal distention that had been preceded by 3 days of diarrhea and 1 day of vomiting. On physical examination, the patient appeared lethargic and dehydrated. The abdomen was markedly distended with decreased bowel sounds, but there was no tenderness or guarding. An abdominal radiograph, obtained with the patient in the supine position, showed three circular radiopaque objects in the intestines, along with dilated loops of bowel. What is the most appropriate next step in this case?
What is the most likely diagnosis?
Abdominal radiograph, Emergency exploratory laparotomy, Foreign body ingestion, Pediatrics, Small-bowel obstruction
