An Adolescent boy presents to his physician with a 5-day H/o abdominal pain, diarrhoea and vomiting. He describes the pain as sharp, originating in the epigastric region, radiating to his back, and exacerbated by movement. Additionally, he has had several episodes of non-bloody, non-bilious vomiting and watery diarrhoea with no fever, chills or weight loss. Thus, his medical history is vital for a ventricular septal defect repaired at a young age.
Evaluation of the abdomen exhibits tenderness in the epigastric region and the right lower quadrant on light to deep palpation. There are no evident marks or lesions on his abdomen. His blood and urine records were within normal limits.
The CT scan revealed that the small bowel is present in the right hemi-abdomen and the large bowel in the left hemi-abdomen. The cecum is midline in the pelvis as shown in the picture. Haustra are still present, excluding any sign of obstruction. CT reports also showed swirling appearance of the mesentery as shown in the picture.
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