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SurgSpace

06 / Pediatric Surgery · clerkship

Vomiting across the room

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Hungry after vomiting

The vomit is milky and never bile-stained, and he feeds hungrily straight afterwards. He has had fewer wet nappies. On test feed a firm olive-shaped mass is felt in the right upper quadrant and visible peristalsis crosses the epigastrium.

Open in 3D: the stomach and pylorus

Which single feature most reliably excludes a mid-gut volvulus?

SurgSpace TutorContext-aware, and it will not spoil the case.