Abstract
A 4-year-old girl presented to the hospital with progressive abdominal pain and distention after a 1-week history of watery diarrhea. The physical examination showed a body temperature of 36.2°C, a distended abdomen, hypoactive bowel sounds, and diffuse tenderness without rebound pain. The laboratory evaluation revealed a white-cell count of 5000 per cubic millimeter, with 63% segmented neutrophils. The plain-film radiograph of the abdomen showed several signs of free intraperitoneal gas. These included air accumulation in the right upper quadrant (the subphrenic area and ventral surface of the liver) (solid white arrows); the falciform-ligament sign, visible as a longitudinal linear density . . .
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