[size=6]A 9-year-old female presents to the emergency room with abdominal distention, early satiety and constipation. An abdominal radiograph is obtained as shown below. What is the best next step in her management?

 

 

a Golyte bowel cleanout

 

b UGI with SBFT

 

c Reassurance

 

d Contrast enema

 

e CT Abdomen/Pelvis[/size]

E

E CT abdomen/pelvis with contrast

E

E

correct answer

e CT Abdomen/Pelvis

 

This patient presents with abdominal distention with imaging showing a large centrally located abdominal mass with calcifications. Further imaging is warranted to better evaluate the mass. Ultrasound may be of use but due to the large size of the mass may make it difficult to determine the exact location of this mass. Cross sectional imaging is warranted to further evaluate the mass. This patient was ultimately diagnosed with a left ovarian mass that was found to be an immature teratoma.

[size=6]A 9-year-old female presents to the emergency room with abdominal distention, early satiety and constipation. An abdominal radiograph is obtained as shown below. What is the best next step in her management?

 

[ATTACH type=full" alt="repview (15).jpeg]15047[/ATTACH]

 

a Golyte bowel cleanout

 

b UGI with SBFT

 

c Reassurance

 

d Contrast enema

 

e CT Abdomen/Pelvis[/size]

E

[size=6]A 9-year-old female presents to the emergency room with abdominal distention, early satiety and constipation. An abdominal radiograph is obtained as shown below. What is the best next step in her management?

 

[ATTACH type=full" alt="repview (15).jpeg]15047[/ATTACH]

 

a Golyte bowel cleanout

 

b UGI with SBFT

 

c Reassurance

 

d Contrast enema

 

e CT Abdomen/Pelvis[/size]

E