A child with upper abdominal pain and pancreatitis

Abstract

Robin Spiller, editorA child with upper abdominal pain and pancreatitis CLINICAL PRESENTATION An 11-year-old male child presented at the emergency department with history of rapid onset upper abdominal pain of 8 h duration. The pain was associated with nausea and vomiting, and there was radiation of pain to the back. There was an increase in pain on taking food. However, there were no relieving factors. On clinical examination, he was found to be afebrile, his vitals were stable and he had tenderness over the epigastrium and left hypochondrium. Bowel sounds were sluggish. The rest of the systemic examination was normal.Routine blood investigation carried out in the emergency department revealed a total leucocyte count of 7800/mm 3 with 64% polymorphonuclear cells, haemoglobin of 12.4 gm/dl, erythrocyte sedimentation rate of 40 mm after 1 h, total bilirubin of 1.

Ascariasis in an Adolescent With AIDS

“…Recent data support the correlation of coinfection with HIV‐1 disease progression (2). Mature Ascaris lumbricoides is the most common parasite causing pancreatitis by entering the biliary tree and/or pancreatic duct via the ampulla (3–5). In our case, inspection of Vater's ampulla with the standard endoscope missed Ascaris , which could presumably have invaded the pancreatic duct.…”