Ureteropelvic Junction Obstruction Presenting With Recurrent Abdominal Pain: Diagnosis by Ultrasound

PEDIATRICS ◽  
1985 ◽  
Vol 76 (6) ◽  
pp. 934-937
Author(s):  
William J. Byrne ◽  
Watson C. Arnold ◽  
Michael W. Stannard ◽  
John F. Redman
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Radiation Exposure ◽  
Ureteropelvic Junction Obstruction ◽  
Correct Diagnosis ◽  
Abdominal Ultrasound ◽  
Recurrent Abdominal Pain ◽  
Ureteropelvic Junction ◽  
Contrast Radiography ◽  
Normal Ultrasound

Three cases of ureteropelvic junction obstruction are presented in which the only symptom was recurrent abdominal pain. Results of physical examination and urinalysis were normal. Ultrasound established the correct diagnosis in the two patients in whom it was performed. Because it is safe, involves no radiation exposure, and is useful in evaluating the gallbladder, pancreas, and liver, as well as both kidneys, abdominal ultrasound should be performed prior to contrast radiography in the evaluation of children with recurrent abdominal pain.

Dietl Syndrome: Intermittent Ureteropelvic Junction Obstruction as a Cause of Episodic Abdominal Pain

PEDIATRICS ◽  
1988 ◽  
Vol 82 (5) ◽  
pp. 792-794
Author(s):  
TERENCE R. FLOTTE
Keyword(s):  
Abdominal Pain ◽  
English Language ◽  
Ureteropelvic Junction Obstruction ◽  
Recurrent Abdominal Pain ◽  
Clinical Syndrome ◽  
Ureteropelvic Junction ◽  
Lower Pole ◽  
Renal Ultrasonography ◽  
Radiologic Literature ◽  
Upper Abdominal

Intermittent ureteropelvic junction obstruction, often associated with an aberrant vessel to the lower pole of the kidney, may cause a distinct clinical syndrome of episodic crampy upper abdominal pain, nausea, and vomiting known as a Dietl crisis. Although Josef Dietl1 first described this clinical entity in 1864, and numerous reports appear in the English language urologic and radiologic literature dating back to 1909,2 there has been only one recent report in the pediatric literature.3 In the latter report, renal ultrasonography was recommended as a screen for intermittent ureteropelvic junction obstruction in children with recurrent abdominal pain. We recently saw two patients in whom the diagnosis of intermittent ureteropelvic junction obstruction was not made by ultrasound.

DIAGNOSIS AND TREATMENT: RECURRENT ABDOMINAL PAIN IN CHILDREN—A SURGEON'S VIEWPOINT

PEDIATRICS ◽  
1967 ◽  
Vol 40 (6) ◽  
pp. 1024-1026
Author(s):  
Donald G. Marshall
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Recent Article ◽  
Recurrent Abdominal Pain ◽  
Diagnosis And Treatment ◽  
Subsequent Paper ◽  
Organic Disease ◽  
Detailed History ◽  
Psychogenic Pain ◽  
Complete Physical Examination

MUCH has been written in recent years about the importance of psychogenic disturbances as causes of abdominal pain in childhood. Yet, by no means all recurrent abdominal pain is so caused. A recent article in Pediatrics on nonorganic abdominal pain therefore promised this subsequent paper on pain of organic origin. I would like to caution the reader that his "surgeon's viewpoint" tends to exclude consideration of organic abdominal pain not surgically treated. Perhaps a third paper is indicated. Abdominal pain of whatever origin requires a planned approach to diagnosis. While it is only too easy for the clinician to submit a patient to innumerable investigations of varying degrees of unlikelihood of revealing disorders of differing degrees of rarity, a detailed history and searching interview with the parents, together with a complete physical examination, will go very far to reduce the number of cases submitted to any but quite simple tests. The diagnosis of psychogenic pain, no less than that of organic pain, must rest on positive findings. To make a diagnosis of psychogenic pain, there must be something more than the absence of demonstrable organic disease. There must be significant psychopathology. If there is evidence of neither this nor organic disease, one must resolve to be irresolute and decide to be undecided. One must not make a diagnosis of psychic disease simply because one can find no organic cause. One must also remember that psychic disturbance does not confer immunity from organic disease. A neurotic, psychotic, or brain-damaged child can have appendicitis.

scholarly journals Results of Abdominopelvic CT Scan in patient with abdominal pain

2019 ◽  
Vol 7 (2) ◽  
pp. 1
Author(s):  
Mahboub Pouraghaei ◽  
Mohammad Hossein Somi ◽  
Payman Moharramzadeh ◽  
Samad Shams Vahdati ◽  
Mahsa Ghanbari
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Ct Scan ◽  
Decisive Role ◽  
Abdominal Ultrasound ◽  
Clinical Findings ◽  
Ct Scans ◽  
Abdominal Ultrasonography ◽  
Imaging Device ◽  
Plain Abdominal Radiography

Background: CT scan is an imaging device that is widely available and is very sensitive to different causes of abdominal pain. The aim of this study was to evaluate the CT scan results role of patients with abdominal pain in diagnosis and future decisions on patient and comparison with patient’s history and physical examination. Methods: In this descriptive analytical study, 215 patients admitted to the emergency room at Imam Reza Teaching Hospital with non-traumatic abdominal pain were studied over the years regarding the comparison of CT findings with the history, physical examination, plain radiography and ultrasound. Demographic characteristics, patient history, symptoms at the first visit, clinical findings, laboratory tests, imaging findings, diagnosis and treatment of all patients were collected. Results: CT scan to confirm the diagnosis or screening patients with abdominal pain has been helpful. The results of 215 CT scan 28.40% was normal, most frequently diagnosis in CT scans was related to pancreatitis 24% and least diagnostic of CT scans related to ileus. Of 215 patients, plain abdominal radiography was requested in 78 patients (36.3%) that the air-fluid level was reported in 18 cases (23.7%). Of 215 patients, abdominal ultrasonography was performed in 117 patients (54.4%) that the most recognizable diagnosis was cholelitiasis in 22 cases (18.8%) an abdominal ultrasound result was normal in 98 cases (83.7%). Finally of the 215 patients, 116 patients (77.2%) admitted and 49 patients (22.7%) were discharged. Of 166 patients, 51 patients (30.72%) were transferred directly from the emergency department to the operating room. Conclusion: CT scan play a decisive role in the decision to hospitalize patients and request in right place expedite the handling patients. Our study suggests the balance between the amount of requested CT in patients with non-traumatic abdominal pain and hospitalization rate.

Abdominal Pain

2021 ◽  
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Recurrent Abdominal Pain ◽  
Organic Disease ◽  
Functional Abdominal Pain ◽  
Medical Evaluation ◽  
Key Points ◽  
Common Causes ◽  
Rome Iv

Key Points Functional abdominal pain disorders are the most common causes of recurrent abdominal pain in pediatrics.The Rome IV criteria in 2016 for functional abdominal pain have eliminated the requirement of "no evidence for organic disease"; it now is defined as > 2 months of pain, ≥ 4 times per month, and after appropriate medical evaluation the symptoms cannot be attributed to another medical condition.History and physical examination are the only evaluations required most of the time in a child with abdominal pain.

scholarly journals PANCREATIC METAPLASIA OF THE GASTRIC MUCOSA IN CHILD

2016 ◽  
Vol 65 (3) ◽  
pp. 276-278
Author(s):  
Raluca Damian ◽  
◽  
Cristina Oana Marginean ◽  
Nicoleta Suciu ◽  
Maria Oana Marginean ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastric Mucosa ◽  
Abdominal Ultrasound ◽  
Recurrent Abdominal Pain ◽  
Pancreatic Tissue ◽  
Personal History ◽  
Antral Mucosa ◽  
Digestive Endoscopy ◽  
A Value ◽  
Associated Lesions

Pancreatic metaplasia is defined as the development of pancreatic tissue in an abnormal location and without direct connection to the pancreas. The heterotopic pancreatic tissue is most frequently noticed in the antral gastric mucosa, duodenum and jejunum. We present the case of a 13-year-old patient, admitted in Pediatrics Clinic 1 Targu-Mures, for recurrent abdominal pain and heartburns. The laboratory tests pointed out lymphocytosis (41%) with monocytosis (8.9%), eosinophilia (4.9%), an increased number of reticulocytes (20%), a decreased serum level of triglycerides and a value above the superior limit for calcium and magnesium. The abdominal ultrasound did not reveal any pathological modifications. The superior digestive endoscopy showed a granular gastric mucosa, therefore we took a biopsy of the antral mucosa, The pathological exam pointed out a fragment of pancreatic metaplasia in the antral gastric mucosa. The evolution was favorable with diet and treatment for the associated lesions. The particularity of the case consists in the presence of pancreatic metaplasia of the gastric mucosa in a patient with recurrent abdominal pain and heartburns, without significant familial or personal history.

scholarly journals Recurrent abdominal pain in children and adolescents: a hospital based study

2017 ◽  
Vol 4 (3) ◽  
pp. 726
Author(s):  
Arindam Bandyopadhyay ◽  
Pijush Kanti Mondal
Keyword(s):  
Abdominal Pain ◽  
Family History ◽  
Physical Examination ◽  
Children And Adolescents ◽  
Patient Population ◽  
Recurrent Abdominal Pain ◽  
Parasitic Infections ◽  
Age Group ◽  
Male Predominance ◽  
The Common

Background: Recurrent abdominal pain (RAP) is very common in children of age group below 15 years. It affects about 10-20% of school going children. It is comprised of both organic and nonorganic causes and is therefore very challenging in diagnosing and treating the disorder. Hence this study was aimed to determine causes of RAP in the patients involved in the study.Methods: This was a hospital based study and includes 100 patients of age group of 2 to 15 years attending the pediatric and medicine OPD of College of medicine and Sagore Dutta Hospital, from May 2014 to April 2015. These children were subjected to thorough physical examination, systemic and clinical examinations, lab investigations and finally categorized the causes for RAP either as organic or nonorganic.Results: Out of 100 patients of RAP, male predominance (67%) was seen and forty-four (44%) of the patient population belonged to age group of 4 to 6 years. Organic RAP was found in 88% of patients and RAP due to non-organic causes was found in 12% of patients.Conclusions: Organic cause predominantly parasitic infections were found to be the common etiological factor for RAP in most of the children. Family history associated RAP was dominated in nonorganic etiology. 

Ureteropelvic Junction Obstruction as a Cause for Intermittent Abdominal Pain in Children

PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1066-1069
Author(s):  
A. BARRY BELMAN
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Case History ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Washington Dc ◽  
Intermittent Abdominal Pain ◽  
The Past ◽  
Primary Physician ◽  
History Of

Two or three times each year children are seen by the Urology Service at Children's Hospital, Washington, DC, who have a history of intermittent, severe midabdominal pain associated with vomiting due to intermittent ureteropelvic junction obstruction. These symptoms may have been on-going for years. The following case history serves as a typical example. CASE REPORT A 6-years-old boy was referred to the Urology Service from the Gastrointestinal Service where he had been sent by his primary physician. He had a 1-year history of episodic abdominal pain occurring one to two times per month initially, but becoming more frequent during the past few months.

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