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  Vol. 154 No. 9, September 2000 TABLE OF CONTENTS
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Radiological Case of the Month

Hassib Narchi, MD, FRCP, FRCPCH
From the Al-Hasa Specialty Services Division, Saudi Aramco– Al-Hasa Health Center, Saudi Aramco Medical Services Organization, Mubarraz, Kingdom of Saudi Arabia. Dr Narchi is currently with the Paediatric Department, Sandwell General Hospital, West Bromwich, England.

Arch Pediatr Adolesc Med. 2000;154:957-958.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A PREVIOUSLY healthy 15-month-old boy had a 3-month history of abdominal distension without associated pain, vomiting, or abnormal stools. His developmental milestones and growth parameters were normal, and findings from the family history were unremarkable. Findings from physical examination revealed normal nutritional status, absence of pallor or jaundice, normal vital signs, and normal cardiorespiratory examination results. Moderate abdominal distension with shifting dullness and fluid thrill was noted, but the flanks were not bulging. There was no hepatosplenomegaly, bruising, or peripheral edema.

The following laboratory results were normal: tuberculin test; complete blood cell count; erythrocyte sedimentation rate; serum albumin and total protein levels; creatinine levels; electrolytes; liver function tests; levels for amylase, lipase, calcium, and phosphorus; antinuclear antibodies; and coagulation studies. The serum cholesterol level was 4.3 mmol/L (166 mg/dL), and triglyceride levels were 1.10 mmol/L (97 mg/dL). Results of urinalysis were normal. His sweat chloride . . . [Full Text of this Article]



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