Submitted by Avetis Azizyan, MD, and Thomas J. Learch, MD
History: A 6 year old Caucasian boy with no known medical history is brought to the emergency department 12 hours after a fall on the playground. His mother became concerned when the boy’s abdominal pain increased rather than improving over the course of the day. During the fall, the mother recounted her son hitting his abdomen against the handlebar of his bicycle. In the emergency department, an ultrasound of the abdomen was order as the initial imaging study.
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