A 4-year-old girl presented with intermittent abdominal pain and frequent vomiting later with bile contents for 2 days. No history of blunt abdominal injury can be traced. The initial clinical impression was upper gastrointestinal obstruction and a series of examinations were performed including an upper gastrointestinal series, endoscopy and abdominal CT. Because of unimproved condition a week later, surgery was performed with evacuation of the hematoma, which revealed a diverticulum. The pathological diagnosis was diverticulitis. The child recovered uneventfully after the surgery.
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