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 Variable presentation.

 Historical features:Increasing lethargy.Forceful/projectile vomiting.Presence of bloody or bilious vomit [1].

 May present similar to sepsis:Hypo/hyperthermia, lethargy, apneic episodes, bradycardia, hypotension, poor glucose regulation.

 Gastrointestinal signs/symptoms:Abdominal distension, bloody stools, vomiting, a palpable abdominal mass (intestinal loops) or abdominal wall redness or crepitus.Scrotal discoloration (males).