18 Hours Of Abdominal in Surgery — 12yo Child | General Surgery | SMLE Q#17167
SMLE Question #17167
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 12-year-old boy presents with 18 hours of abdominal pain that started peri-umbilically and migrated to the right lower quadrant. He has fever, nausea, and anorexia. Examination shows right lower quadrant tenderness with guarding and rebound at McBurney’s point. Ultrasound shows a non-compressible blind-ended tubular structure in the right lower quadrant with an echogenic calcified focus casting acoustic shadowing. What is the most likely diagnosis?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.