Small intestinal plication (SIP)

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  • Defining characteristics:
    Abnormal pattern/pockets of intraluminal gas, pleating of small intestinal membrane, clumped small intestinal loops

  • Common differential diagnoses:
    Linear foreign body, enteritis, intussusception

  • Helpful additional data:
    Does the patient eat things it shouldn't, string, cloth, plastic/hair ties, etcetera? Has there been any vomiting? If the patient is a juvenile, has there been diarrhea?

  • Commonly associated diagnostics:
    Consider abdominal ultrasound if available, serial radiographs

  • Commonly associated treatments:
    Consider *SignalCare MDB, consider IV fluids with serial radiographs, consider the rest of the physical exam and clinical findings, and discuss surgical options

  • Commonly associated home care:
    Based on primary


*SignalCare MDB = CBC/Chemistry/Urinalysis/Thoracic ultrasound/Abdominal ultrasound