DOI: http://dx.doi.org/10.18203/2349-2902.isj20182238

Surgical causes of abdominal pain in children: a retrospective study

Balaji Dhanaram, Sakthivel Chandrasekar, Baskar Muthukumaraswamy

Abstract


Background: Abdominal pain is a very prevalent problem in children and one of the common causes for visit to the hospital. They may be of acute or chronic presentation and depending on severity may also require admission to hospital.

Methods: This is a retrospective study conducted in our hospital over a period of 3 years. About 200 children who came to the hospital with abdominal pain and received treatment in surgical outpatient or referred to surgery department from emergency were included in this study and all relevant data were collected.

Results: The pain was found to be more in boys and in the age group of 9 to 12years. The most common cause was found to be mesenteric adenitis followed by acute appendicitis. About 38% of children required surgical intervention on that admission due to various surgical causes.

Conclusions: The database of our retrospective study regarding age and sex incidence, clinicopathological features and therapeutic outcome was comparable to other studies in various literatures.


Keywords


Abdominal pain, Appendicitis, Mesenteric adenitis

Full Text:

PDF

References


Caperell K, Pitetti R, Cross KP. Race and acute abdominal pain in a pediatric emergency department. Pediatrics. 2013;131(6):1098-106.

Erkan T, Çam H, Özkan HÇ, Kiray E, Erginoz E, Kutlu T et al. Clinical spectrum of acute abdominal pain in Turkish pediatric patients: a prospective study. Pediatr Int. 2004;46(3):325-9.

Comroe BI. Non-surgical causes of acute abdominal pain. Annal Surg. 1935;101(1):438-44.

Ross A, LeLeiko NS. Acute abdominal pain. Pediatr Rev. 2010;31:135-44.

Bundy DG, Byerley JS, Liles EA, Perrin EM, Katznelson J, Rice HE. Does this child have appendicitis? JAMA. 2007 Jul;298(4):438-51.

Leung AKC, Sigalet DL. Acute abdominal pain in children. Am Fam Physician. 2003;67:2321-6.

Shakya KN, Dongol UM, Khadka SB. A study of abdominal pain in children. JNMA. 2008 Oct-Dec;47(172):193-6.

Lin CH, Chen JH, Li TC, Ho YJ, Lin WC. Children presenting at the emergency department with right lower quadrant pain. Kaohsiung J Med Sci. 2009;25:1-9.

Kim JH, Kang HS, Han KH, Kim SH, Shin KS, Lee MSet al. Systemic classification for a new diagnostic approach to acute abdominal pain in children. Pediatr Gastroenterol, Hepatol Nutri. 2014;17(4):223-31.

Sheikh MA, Latif T. Acute abdominal pain in children; clinical outcomes and value of symptoms and signs in diagnosis. Professional Med J. 2015;22(8):1080-6.

Fahimi J, Herring A, Harries A, Gonzales R, Alter H. Computed tomography use among children presenting to emergency departments with abdominal pain. Pediatrics. 2012;130(5).

Hryhorczuk AL, Mannix RC, Taylor GA. Pediatric abdominal pain: use of imaging in the emergency department in the United States from 1999 to 2007. Radiology. 2012 Jun;263(3):778-85.

Schneider C, Kharbanda A, Bachur R. Evaluating appendicitis scoring systems using a prospective pediatric cohort. Ann Emerg Med. 2007 Jun;49(6):778-84.

Bhatt M, Joseph L, Ducharme FM, Dougherty G, McGillivray D. Prospective validation of the pediatric appendicitis score in a Canadian pediatric emergency department. Acad Emerg Med. 2009 Jul;16(7):591-6.

Kharbanda AB, Monuteaux MC, Bachur RG, Dudley NC, Bajaj L, Stevenson MD et al. A Clinical Score to Predict Appendicitis in Older Male Children. Academic Pediatr. 2017;17(3):261-6.

Abantanga FA, Nimako B, Amoah M. The range of abdominal surgical emergencies in children older than 1 year at the Komfo Anokye teaching hospital, Kumasi, Ghana. Ann Afr Med. 2009;8:236-42.

Holland A, Gollow IJ. Acute abdominal pain in children: an analysis of admissions over a three year period. J Qual Clin Pract. 1996;16:151-5.

Scholer SJ, Pituch K, Orr DP, Dittus RS. Clinical outcomes of children with acute abdominal pain. Pediatrics. 1996;98:680-5.

Kwan KY, Nager AL. Diagnosing pediatric appendicitis: usefulness of laboratory markers. Am J Emerg Med. 2010;28:1009-101.

Soundappan SV, Holland AJ, Cass DT, Lam A. Diagnostic accuracy of surgeon-performed focused abdominal sonography (FAST) in blunt paediatric trauma. Injury. 2005;36:970-5.