Child with Abdominal Pain

Iyer, Rajalakshmi; Nallasamy, Karthi

doi:10.1007/s12098-017-2447-5

Cited by 11 publications

(8 citation statements)

References 7 publications

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“…The use of abdominal computed tomography (CT) for evaluating pediatric abdominal pain has markedly increased over the past decades due to its improved diagnostic accuracy, leading to increased sensitivity and specificity [ 1 ]. Bowel wall thickening (BWT) is not an uncommon abdominal CT finding in pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

Bowel Wall Thickening on Computed Tomography in Children: A Novel Method of Measurement and Its Clinical Significance

Lee

Cho

et al. 2021

Pediatr Gastroenterol Hepatol Nutr

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Purpose The clinical implications of bowel wall thickening (BWT) on abdominal computed tomography (CT) among children are unknown. We aimed to suggest a new method for measuring BWT and determining its clinical significance in children. Methods We retrospectively analyzed 423 patients with acute abdomen who underwent abdominal CT; 262 were classified into the BWT group. For this group, the pediatric radiologist described the maximal bowel wall thickness (MT), normal bowel wall thickness (mm) (NT), and their ratios for each segment of the bowel wall. Results In the thickened bowel walls, the thickness differed significantly between the small bowel (6.83±2.14 mm; mean±standard deviation) and the colon (8.56±3.46 mm; p <0.001). The ratios of MT to NT in the small bowel (6.09±3.17) and the colon (7.58±3.70) were also significantly different ( p <0.001). In the BWT group, 35 of 53 patients had positive fecal polymerase chain reaction results; 6 patients infected with viruses predominantly had BWT in the small intestine, while the terminal ileum and the colon were predominantly affected in 29 patients with bacterial infections. In the initially undiagnosed 158 patients with BWT, the symptoms improved spontaneously without progression to chronic gastrointestinal disease. Conclusion This study provides a clinical reference value for BWT in the small intestine and colon using a new method in children. The BWT on abdominal CT in children might indicate nonspecific findings that can be observed and followed up without additional evaluation, unlike in adults.

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Section: Introductionmentioning

confidence: 99%

Bowel Wall Thickening on Computed Tomography in Children: A Novel Method of Measurement and Its Clinical Significance

Lee

Cho

et al. 2021

Pediatr Gastroenterol Hepatol Nutr

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“…The incidence of gastrointestinal symptoms, including abdominal pain and bloating, was also recorded. To aid the parents/guardians' understanding and perception, the non-verbal signs of these two symptoms were also listed in the notebook for reference: when experiencing abdominal pain, the child may bring his or her legs onto the abdomen, show a negative expression such as a grimace or frown, act restless, cry steadily, moan or whimper (Crellin et al, 2017;Iyer and Nallasamy, 2018); when experiencing abdominal bloating, the child may have a swollen, distended or hard abdomen, and some may have abdominal rumbling or gurgles (Azpiroz and Malagelada, 2005).…”

Section: Study Outcomes and Data Collectionmentioning

confidence: 99%

Safety and tolerance of Lacticaseibacillus paracasei N1115 in caesarean-born young children: a randomised, placebo-controlled trial

Ren

Zhang

et al. 2022

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The administration of probiotics may help to improve dysbiosis and related health problems in children delivered by caesarean section. However, the effects are strain specific, and safety combined tolerance are considered a priority. The aim of this study was to evaluate the safety and tolerance of Lacticaseibacillus paracasei N1115 in caesarean-born children aged 6-24 months via a randomised, placebo-controlled intervention study. In total, 101 children were included and randomised to receive either a sachet of L. paracasei N1115 (2×1010 cfu/g, 2 g/day) or placebo (maltodextrin, 2 g/day) per day for 12 weeks. Anthropometric parameters were measured by trained nurses, and defecation characteristics, gastrointestinal symptoms, (serious) adverse events ((s)AEs), crying patterns and lifestyle behaviours were recorded by parents or guardians. Neurocognitive development was assessed by the Ages and Stages Questionnaires-3 (ASQ-3) before and after the intervention. The only difference between groups regarding defecation characteristics was a significant treatment × time effect on stool frequency (P=0.007), as the number of defecations was significantly higher in the probiotic group (around 1.2-1.3 times/day) than in the placebo group (around 1.0 times/day) in the later intervention period (P=0.035 at week 9; P=0.048 at week 10; P=0.026 at week 12). The use of L. paracasei N1115 also reduced the incidence rate of constipation (Incidence rate ratio (IRR): 0.120; 95% confidence interval (CI): 0.015, 0.967; P=0.046) and abdominal pain (IRR: 0.562; 95% CI: 0.358, 0.882; P=0.012). Changes in anthropometric parameters, including weight, height and head circumference, did not differ significantly between groups, nor did measures of crying, sleep, outdoor activity, temper, appetite or the ASQ-3 scores. No adverse events associated with consumption of the probiotic were reported. Thus, the administration of L. paracasei N1115 is safe and well-tolerated in caesarean-born children aged 6-24 months. Furthermore, it may ameliorate gastrointestinal function to some extent.

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“…El dolor abdominal es uno de los motivos de consulta más frecuentes en pediatría y representa entre el 5-10% de las visitas a urgencias 1 . La edad del paciente, la anamnesis y una exploración meticulosa son fundamentales en el diagnóstico y aportan información valiosa respecto a la etiología del proceso, en busca de causas quirúrgicas, no quirúrgicas y extra abdominales 2 . Este enfoque es especialmente útil en niños, teniendo en cuenta las limitaciones diagnósticas derivadas de la inespecificidad de los síntomas, o por lo menos, de cómo los experimenta y refiere el paciente.…”

Section: Introductionunclassified

Urachal remnant and acute abdomen: when it's not what it seems

Moreno-Alfonso

González

Martín

et al. 2022

An Sist Sanit Navar

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Resumen Dentro de las causas de abdomen agudo quirúrgico, la infección de un remanente uracal puede pasar desapercibida en cuadros evolucionados a pesar de las pruebas complemetarias habituales. Presentamos tres casos de varones de 11, 6 y 4 años llevados a urgencias por dolor en fosa iliaca derecha, fiebre y síntomas urinarios. La exploración y las pruebas complementarias eran compatibles con patología apendicular aguda evolucionada y fueron intervenidos con dicha sospecha. En el quirófano se descartó apendicitis y se documentaron cambios inflamatorios sugestivos de infección de remanente uracal. Las complicaciones de los remanentes uracales deben ser tenidas en cuenta en el diagnóstico diferencial del abdomen agudo quirúrgico, ya que la infección evolucionada de estos puede confundirnos. Un diagnóstico de presunción más certero puede cambiar nuestra actitud terapéutica, quirúrgica y el seguimiento.

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Child with Abdominal Pain

Cited by 11 publications

References 7 publications

Bowel Wall Thickening on Computed Tomography in Children: A Novel Method of Measurement and Its Clinical Significance

Bowel Wall Thickening on Computed Tomography in Children: A Novel Method of Measurement and Its Clinical Significance

Safety and tolerance of Lacticaseibacillus paracasei N1115 in caesarean-born young children: a randomised, placebo-controlled trial

Urachal remnant and acute abdomen: when it's not what it seems

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