RT Book, Section
A1 Wells, Robert G.
SR Print(0)
ID 1148946408
T1 Abdominal Trauma and Other Intra-Abdominal Emergencies
T2 Diagnostic Imaging of Infants and Children
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071808392
LK accesspediatrics.mhmedical.com/content.aspx?aid=1148946408
RD 2023/12/04
AB Acute  abdominal  pain  is  one  of  the  most  frequent  presentations  of  children  visiting  emergency  departments  or  outpatient  clinics.  The  differential  diagnosis  is  extensive  (Table  40-1).  The  clinical  and  radiographic  findings  are  often  nonspecific.  Appendicitis,  gastroenteritis,  constipation,  trauma,  pneumonia,  sepsis,  toxic  ingestion,  and  hemolytic  uremic  syndrome  are  among  the  conditions  that  can  produce  acute  abdominal  pain  in  children  of  all  ages.  The  possibility  of  Hirschsprung  disease,  intussusception,  and  volvulus  must  be  considered  in  infants  with  clinical  indications  of  acute  abdominal  pathology.  Intussusception  can  also  occur  in  preschool  children.  In  older  children,  testicular  torsion  and  inflammatory  bowel  disease  enter  the  differential  diagnosis.  The  possibility  of  tuboovarian  disease  or  ectopic  pregnancy  needs  to  be  considered  in  adolescent  girls.