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You are seeing a 13-month old toddler who presents with 1 day of lethargy and 2 episodes of vomiting. There is no fever or diarrhea. The child has not complained of or seemed to have abdominal pain. The child has been sleeping all day and has not taken any oral intake. On exam, temperature is 37.6C, HR 110, RR 30, BP 76/32, pulse oximetry 100% on room air. The abdominal exam is nondistended, nontender, and no mass is palpable. The rest of the exam is normal.

Which of the following abdominal pathologies is highest in the differential diagnosis?