Author: Johanna Selway / Editor: Yasmin Sultan / Codes: / Published: 01/07/2021
A 5-month-old child presents to the Paediatric Emergency Department with inconsolable crying. The crying episodes have become more frequent, which is why her parents decided to attended hospital, as this was very unusual for her. She has not had a fever. She has been passing urine without concern and is breastfeeding well.
On examination, her abdomen is unremarkable and is soft non tender. Mum denies any diarrhoea or vomiting. However, 30 minutes after arrival, you are called to re-examine her. She has pallor, is inconsolable and you can palpate a mass in her right upper quadrant.
