Snapshot A 26-day-old boy presents to the pediatrician due to increased irritability and episodes of vomiting after feeding. He also reports that the patient appears lethargic. Obstetric history is significant for a spontaneous vaginal delivery at 29 weeks gestation and weight of 1005 grams at birth. He was born to a 32-year-old mother. On physical examination, there is abdominal distension. Laboratory testing is significant for heme-positive stool and thrombocytopenia. An abdominal radiograph is shown. Introduction Clinical definition login to view 1 more bullet Epidemiology login to view 10 more bullets Pathogenesis login to view 2 more bullets Associated conditions login to view 1 more bullet Prognosis login to view 3 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 2 more bullets Imaging Radiography login to view 9 more bullets Studies Labs login to view 5 more bullets Diagnostic criteria login to view 3 more bullets Differential Spontaneous intestinal perforation Infectious enteritis Treatment Medical login to view 6 more bullets Operative login to view 6 more bullets Complications Bowel perforation Disseminated intravascular coagulation Infectious complications (e.g., peritonitis)