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Images in paediatrics
Acute small bowel obstruction in a child with a strict raw vegan diet
  1. Stefano Amoroso1,
  2. Maria-Grazia Scarpa2,
  3. Federico Poropat3,
  4. Rita Giorgi3,
  5. Flora Maria Murru4,
  6. Egidio Barbi1,3
  1. 1 University of Trieste, Trieste, Italy
  2. 2 Department of Surgery, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
  3. 3 Department of Pediatrics, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
  4. 4 Department of Radiology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
  1. Correspondence to Dr Stefano Amoroso, University of Trieste, Trieste 34127, Italy; stefanoamoroso1234{at}gmail.com

http://dx.doi.org/10.1136/archdischild-2018-314910

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    A 1-year-old toddler was admitted with a 12-hour history of repeated vomiting. He had not passed stools for the past 3 days, or flatus in the last 24 hours. Physical examination showed abdominal distention without pain or guarding. An abdominal X-ray showed multiple air fluid levels with a distended small bowel (figure 1). A video-assisted laparoscopy showed dilated small bowel loops.

    Figure 1

    Multiple air fluid levels and distended small bowel loops with no …

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    Footnotes

    • Contributors SA, FP, RG and FMM gave substantial contributions to the study, including designing and drafting the manuscript. M-GS and EB reviewed the manuscript and gave final approval of the version to be published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.