Issue 11:2

Trapped in Transit Dilated Loops of Small Bowel LUQ. CT Sagital. Unannotated. JETem 2026

Trapped In Transit – A Case Report of a Pediatric Gastric Bezoar Causing Intermittent Small Bowel Obstruction

Jonah A Frueh, MD*, Arinzechukwu M Obegolu, MD^, Anil G Rao, MD† and Amanda E Mulcrone, MD**

DOI: https://doi.org/10.5070/M5.52259Issue 11:2[mrp_rating_result]
The CT scan identified a heterogenous, mass-like lesion extending from the gastric fundus to the antrum, along with a small bowel obstruction (SBO) and significant small bowel dilation. An additional smaller heterogenous mass-like lesion was seen in the small bowel, causing the SBO. Given the mass-like lesion’s mixed attenuation and presence of internal air, a gastric bezoar was strongly suspected.
Visual EMAbdominal/GastroenterologyCurrent Issue
Scurvy Linked to Food Insecurity. Photo B. Unannotated. JETem 2026

Overlooked and Undernourished: A Case Report of Scurvy Linked to Food Insecurity

Justin Kosley, BS*, Marshall Howell, MD^ and Zachary Grant, MD^

DOI: https://doi.org/10.5070/M5.52313 Issue 11:2[mrp_rating_result]
Images A and B of the lower extremities show what initially appeared to be a petechial rash with scattered ecchymoses bilaterally, primarily on the right lower leg. On closer examination, images C and D more clearly show these spots to be flat and non-blanching, indicative of follicular hyperkeratosis with perifollicular hemorrhages. The classic coiled or corkscrew hair findings are not seen in these images. Image E shows evidence of palatal ecchymosis, without evidence of gingival bleeding, likely due to loss of dentition. This constellation of exam findings reflects the production of weakened or dysfunctional collagen in connective tissue and vascular structures and is strongly suggestive of the clinical diagnosis of scurvy. Image F shows resolution of the patient’s dermatologic findings after three weeks of treatment.
Visual EMCurrent IssueRenal/Electrolytes