scholarly journals Pediatric Intussusception: The Cinnamon Bun Sign

2018 ◽  
Vol 34 (4) ◽  
pp. 275-280
Author(s):  
Erica Poole ◽  
Steven M. Penny
Keyword(s):  
Abdominal Pain ◽  
Clinical Symptom ◽  
Pediatric Patient ◽  
Acute Abdominal Pain ◽  
Pediatric Population ◽  
Clinical Manifestations ◽  
Distal Segment ◽  
Sonographic Examination ◽  
Severe Disorder

Acute abdominal pain in the pediatric patient is a common clinical symptom often resulting in uncertainty and thus often subsequently leads to a sonographic examination of the abdomen. Sonography is often the modality of choice for pediatric abdominal imaging, and consequently, sonographers should have a fundamental appreciation for the causes of acute abdominal pain in the pediatric population. Intussusception, which is the telescoping of a proximal segment of bowel into a distal segment, is one potential cause of acute abdominal pain for these patients. This review clarifies the etiology and classification of intussusception and provides an overview of the clinical manifestations, sonographic identification, and treatment of this potentially severe disorder. Also, this review provides a novel imaging sign, called the “cinnamon bun” sign, that sonographers can employ while examining patients for possible intussusception. The cinnamon bun sign is a descriptive term that may be used to illustrate a transverse sonographic plane through an intussusception.

scholarly journals Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Javier Martín-Vallejo ◽  
Enrique E. Garrigós-Llabata ◽  
Patricia Molina-Bellido ◽  
Pedro A. Clemente-Pérez
Keyword(s):  
Abdominal Pain ◽  
Fallopian Tube ◽  
Acute Abdominal Pain ◽  
Pediatric Population ◽  
Rare Condition ◽  
Case Presentation ◽  
Reactive Protein ◽  
Clinical Case Study ◽  
Caucasian Girl

Abstract Background Isolated fallopian tube torsion associated with hydrosalpinx is a rare condition in the pediatric population. We present this unusual clinical case study in a sexually inactive girl. Case presentation a12-year-old Caucasian girl presented symptoms of acute abdominal pain. Pelvic ultrasound revealed a normal looking uterus and ovaries and next to left ovary a imaging compatible with hydrosalpinx. She was discharged 48 hours later after clinical monitoring with oral analgesia and normal blood workup. At 3 weeks, she was readmitted for acute abdominal pain. Leukocytosis with left shift and raised C-reactive protein were observed. Her clinical condition worsened, and complication of the preexisting hydrosalpinx was suspected. Exploratory laparoscopy confirmed torsion of the fallopian tube. Left salpingectomy was performed. Histopathologic study confirmed a fallopian tube with hemorrhagic infarct. Conclusion Torsion of the fallopian tube must be considered in the event of acute abdominal pain. Early diagnosis and trying conservative management with a view to preserving fertility in this group of patients are essential.

scholarly journals Non specific mesenteric adenitis of forty-five cases in childhood and review

2020 ◽  
Vol 18 (4) ◽  
pp. 396-400
Author(s):  
K. Georgiev ◽  
Kr. Kalinova
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Acute Abdominal Pain ◽  
Laboratory Diagnosis ◽  
Daily Basis ◽  
Systematic Classification ◽  
Mesenteric Lymphadenitis ◽  
Common Diagnosis ◽  
Mesenteric Adenitis

Mesenteric lymphadenitis is a disease that pediatric surgeons face on a daily basis due to symptoms resembling the symptoms of acute appendicitis. 45 children with abdominal pain were examined for the last 3 years, aged 3 to 18 years, treated non-surgically, and proven laboratory, microbiological and instrumental diagnosis. Mesenteric lymphadenitis is a very common diagnosis in children with suspected acute appendicitis. In previous methods, based solely on age and location, there were many difficulties in identifying the etiology of acute abdominal pain in children. We decided to develop a new systematic classification of acute abdominal pain. Carrying out a clinical and epidemiological analysis of the diseased children with acute surgical diseases in order to establish a pre-operative imaging and laboratory diagnosis, to establish the sensitivity of microbiological markers An overview of the literature on the topic has been made

scholarly journals Case Report: Acute Abdominal Pain as Presentation of Pneumonia and Acute Pancreatitis in a Pediatric Patient With COVID-19

JPGN Reports ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. e011
Author(s):  
Raul E. Sanchez ◽  
Colleen B. Flahive ◽  
Ethan A. Mezoff ◽  
Cheryl Gariepy ◽  
W. Garrett Hunt ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Case Report ◽  
Pediatric Patient ◽  
Acute Abdominal Pain

Imaging of Acute Abdominal Pain in the Pediatric Population

2020 ◽  
Vol 49 (9) ◽  
pp. e380-e388
Author(s):  
Erica L. Riedesel ◽  
Susan D. John ◽  
Leann E. Linam
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Pediatric Population

scholarly journals Point-of-care ultrasound for evaluating intra-abdominal calcification in the pediatric emergency department: case series and review of literature

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Vigil James ◽  
John Samuel ◽  
Chor Yek Kee ◽  
Gene Yong-Kwang Ong
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Point Of Care ◽  
Pediatric Population ◽  
Pediatric Emergency ◽  
Point Of Care Ultrasound ◽  
Pediatric Emergency Department ◽  
Wall Calcification

Abstract Background The presence of intra-abdominal calcification in the pediatric population can be due to a wide range of conditions. Calcification in the abdomen can be seen in normal or abnormal anatomical structures. In some patients, abnormal calcification points towards the pathology; whereas in others, calcification itself is the pathology. After a thorough history and clinical examination, point-of-care ultrasound (POCUS) would complement the assessment of acute abdominal pain, based on the list of differentials generated as per the abdominal region. The main objective of this article is to review commonly encountered causes of intra-abdominal calcifications in the pediatric population and help in clinical decision-making in a Pediatric Emergency Department. Case presentation We describe a series of pediatric patients who presented to the Pediatric Emergency Department with acute abdominal pain, in whom point-of-care ultrasound helped expedite the diagnosis by identifying varying types of calcification and associated sonological findings. For children who present to the Pediatric Emergency Department with significant abdominal pain, a rapid distinction between emergencies and non-emergencies is vital to decrease morbidity and mortality. Conclusions In a child presenting to the Pediatric Emergency Department with abdominal pain, POCUS and the findings of calcifications can narrow or expand the differential diagnosis when integrated with history and physical exam, to a specific anatomic structure. Integrating these findings with additional sonological findings of an underlying pathology might raise sufficient concerns in the emergency physicians to warrant further investigations for the patient in the form of a formal radiological ultrasound and assist in the patient's early disposition. The use of POCUS might also help to categorize the type of calcification to one of the four main categories of intra-abdominal calcifications, namely concretions, conduit wall calcification, cyst wall calcification, and solid mass-type calcification. POCUS used thoughtfully can give a diagnosis and expand differential diagnosis, reduce cognitive bias, and reduce physician mental load. By integrating the use of POCUS with the history and clinical findings, it will be possible to expedite the management in children who present to the Pediatric Emergency Department with acute abdominal pain.

scholarly journals S2928 Pancreatoblastoma: A Rare Cause of Acute Abdominal Pain in a Pediatric Patient

2021 ◽  
Vol 116 (1) ◽  
pp. S1213-S1213
Author(s):  
Sudeep Rajpoot ◽  
Muaz Aijazi ◽  
Harkirat Singh ◽  
Deepak Rajpoot
Keyword(s):  
Abdominal Pain ◽  
Pediatric Patient ◽  
Acute Abdominal Pain

scholarly journals Epiploic Appendagitis and Omental Infarction as Rare Causes of Acute Abdominal Pain in Children

2021 ◽  
Vol 13 (1) ◽  
pp. 76-85
Author(s):  
Federica Bianchi ◽  
Carlos Leganés Villanueva ◽  
Núria Brun Lozano ◽  
Ilaria Goruppi ◽  
Susana Boronat Guerrero
Keyword(s):  
Abdominal Pain ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Pediatric Population ◽  
Radiological Evaluation ◽  
Epiploic Appendagitis ◽  
Specific Diagnosis ◽  
Omental Infarction

Omental infarction and epiploic appendagitis are rare causes of acute abdominal pain in the pediatric population. Radiological evaluation is necessary to establish a specific diagnosis and to differentiate appendicitis from these conditions as they can be often managed conservatively without surgical intervention.

scholarly journals Acute Abdominal Pain as a Presenting Symptom of Beriberi in a Pediatric Patient

2016 ◽  
pp. fmw039
Author(s):  
Roberto J. N. Nogueira ◽  
José E. Godoy ◽  
Tiago H. Souza
Keyword(s):  
Abdominal Pain ◽  
Pediatric Patient ◽  
Acute Abdominal Pain

scholarly journals Tratamiento quirúrgico conservador en un paciente con invaginación yeyuno-yeyunal secundaria a síndrome de Peutz-Jeghers. Reporte de un caso

2018 ◽  
Vol 39 (3) ◽  
pp. 244
Author(s):  
Rodrigo Ugalde Resano ◽  
Irina Jeanette Bercholc Urinowsky ◽  
Luis Enrique Escalona Ramírez ◽  
Juan Miguel Blanco Torres ◽  
Miguel Ángel Paz Muñoz ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Clinical Manifestations ◽  
Lower Lip ◽  
Short Bowel ◽  
Intestinal Intussusception ◽  
Disease Case ◽  
Patient Reported ◽  
Peutz Jeghers Syndrome ◽  
Intestinal Obstructions

INTRODUCCIÓN: el síndrome de Peutz-Jeghers es una enfermedad autosómica dominante, poco frecuente, caracterizada por hiperpigmentación mucocutánea y pólipos gastrointestinales; estos últimos causantes de obstrucciones intestinales recurrentes, secundarias a invaginación.PRESENTACIÓN DEL CASO: adolescente femenina, de 13 años, que acudió a urgencias debido a un cuadro de dolor abdominal intenso, con un cuadro de obstrucción intestinal secundario a invaginación yeyuno-yeyunal. Siete años antes tuvo un cuadro clínico similar que desapareció espontáneamente. A la exploración física se observaron lesiones hiperpigmentadas en el labio inferior y anemia microcítica e hipocrómica con los que se integró el diagnóstico de síndrome de Peutz-Jeghers. Debido a que en la tomografía axial computada de abdomen se evidenció invaginación intestinal se realizó una laparotomía exploradora, con el hallazgo de dos pólipos hamartomatosos de 2 y 3 cm de diámetro a 15 cm del ligamento de Treitz. Se trató la invaginación intestinal y, posteriormente, se efectuaron enterotomía y polipectomía. Mediante enteroscopia transoperatoria se descartaron otras alteraciones. Luego de tratar el cuadro clínico la paciente fue dada de alta del hospital en buenas condiciones. CONCLUSIÓN: la invaginación intestinal en adolescentes es una situación excepcional que requiere un alto índice de sospecha para enfermedades polipósicas. Se reporta un caso de invaginación intestinal que se trató existosamente con cirugía conservadora, sin necesidad de resecciones intestinales que, a largo plazo, condicionan síndrome de intestino corto: uno de los principales problemas a los que se enfrentan esto pacientes. PALABRAS CLAVE: Peutz-Jeghers, pólipos gastrointestinales, obstrucción intestinal recurrente, dolor abdominal agudo, yeyuno-yeyunal, adolescentes. Abstract INTRODUCTION: Peutz-Jeghers syndrome is an uncommon autosomal dominant disease, characterized by mucocutaneous hyperpigmentation and gastrointestinal polyps, which are the cause of recurrent intestinal obstructions, secondary to invagination. This case provides evidence to consider more conservative surgical treatments and prevent these patients from being constantly subjected to extensive bowel resections, which in many cases, can condition short bowel disease. CASE PRESENTATION: A 13-year-old female patient who came to the emergency room with acute abdominal pain due to intestinal obstruction secondary to jejuno-jejunal intussusception. 7 years ago, the patient reported similar clinical manifestations that solved spontaneously. Physical examination showed hyperpigmented lesions on the lower lip, and microcytic hypochromic anemia; Peutz-Jeghers syndrome was established. Intestinal intussusception was evidenced by computed axial tomography of the abdomen, so exploratory laparotomy was performed, with the finding of two hamartomatous polyps 2 and 3 cm in diameter at 15 cm of the Treitz ligament. Intestinal intussusception was resolved with subsequently, enterotomy and polypectomy. Other alterations were ruled out by trans-operative enteroscopy. At the resolution of clinical manifestations, the patient was discharged from the hospital in good clinical conditions. CONCLUSION: Intestinal intussusception in adolescents is an exceptional situation, which requires a high index of suspicion for polysposis diseases. We present a case of intestinal intussusception, successfully resolved with conservative surgical treatment, without requiring intestinal resections, which can condition short bowel syndrome in the long-term, one of the major problems these patients face. KEYWORDS: Peutz-Jeghers; gastrontestinal polyps; recurrent intestinal obstructions; acute abdominal pain; jejuno jejunal; adolescents.

scholarly journals Acute abdominal pain: An unusual medical cause

2009 ◽  
Vol 8 (1) ◽  
pp. 26-28
Author(s):  
James Chan ◽  
◽  
Adil Ahmed ◽  
Bernard Stacey ◽  
◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lyme Disease ◽  
Acute Abdominal Pain ◽  
Delayed Diagnosis ◽  
Clinical Manifestations ◽  
Ixodid Ticks ◽  
Protection Agency ◽  
The United Kingdom ◽  
Suboptimal Outcome ◽  
Intestinal Dysmotility

Lyme disease is an infectious illness that arises from the spirochete, Borrelia burgdorferi transmitted via a bite by Ixodid ticks. There were 768 cases in the United Kingdom (incidence 1.46/100,000) identified by the Health Protection Agency in 2006. Clinical manifestations of Lyme disease can be multi-systemic. It is important for the acute physician to be aware of this condition. Its relative infrequency and unusual presentation can result in delayed diagnosis with potential for suboptimal outcome. Here, we present a case of Lyme disease presenting with abdominal pain and intestinal dysmotility.

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