Abstract
Abdominal pain and constipation are common in children. Though mostly functional, an occasional child can spring a surprise, as did this one with his bizarre abdominal x-ray study (1). A 4-year-old, developmentally normal boy presented with acute periumbilical pain for 3 days, constipation for 3 months, and multiple, vague, firm masses palpable in the abdomen. Chronic constipation with intestinal obstruction was suspected. Hemogram showed hemoglobin 7.3 g/dL, mean corpuscular volume 56.5 fL, mean corpuscular hemoglobin 14.6 pg, mean corpuscular hemoglobin concentration 25.8 g/dL and red cell distribution width 20.2%, platelet count 546,000/mm3, and white blood cell count 12,000/mm3.
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