Treatment Strategies

28-Year-Old Pregnant Female Patient with Abdominal Tumor on Fetus


  • 28-yr-old pregnant woman at 30 wk gestational age presents for evaluation because of prenatal ultrasound of fetus with concern for abdominal tumor.
  • Ultrasound was repeated 6 wk after the initial ultrasound. On repeat ultrasound at 36 wk, the mass is noted to be in the pelvis, posterior to the bladder identified to be hydrocolpos.
  • MRI was obtained to help identify the anatomy.

10-Year-Old Male Presents with Severe Left-sided Abdominal Pain and Discharge from Anus


  • Ten-year-old male presents to the ED with severe left sided abdominal pain and discharge from the anus.
  • He is febrile and tachycardic. He is admitted and ultimately diagnosed with Shigella colitis with overflow diarrhea into the efferent limb of his loop transverse colostomy. Also, he was a Syrian refugee who immigrated to Canada. No prior medical records available.