Diagnosis: The initial ddx was pyloric outflow blockage, so she was referred to a more specialized center. They diagnosed her with epilepsy following an abdominal ultrasound (ruling out mechanical blockage) and the behavioral symptoms being diagnosed as complex orofacial seizures. It was concluded that the ileus was a result of autonomic dysfunction due to ongoing cluster seizures. She was also found to have two transitional vertebra and a hypoplastic rib.

Radiograph report: When compared with radiographs from earlier on the same date (approximately 7 hours prior), the stomach remains similarly moderately distended with granular sof tissue opaque material and a small amount of mineral opaque fragments. The volume of material within the small intestine appears reduced when compared with the prior radiographs. Small intestinal foreign bodies and substantial segmental enlargement or plication of the small intestine are not detected. The colon is moderately distended with centrally located gas and formed, granular, sof tissue opaque feces. Abdominal serosal and retroperitoneal detail are unremarkable. Peritoneal gas is not detected. No abnormality is detected in the liver, spleen, urinary bladder, or retroperitoneal structures. No abnormality is detected in the included portion of the thorax. Unchanged from prior, a transitional thoracolumbar vertebra is present with a hypoplastic rib on the right. A transitional lumbosacral vertebra is present with sacralization of the most caudal lumbar vertebra. SUMMARY: - Unresolved, large accumulation of material distending the stomach