Abdominal Pain in Children With Sickle Cell Disease
| Autor: | Melissa Rhodes, Jolanda M Denham, Laura Adkins, Tina Andrews, David Gregory Bates, Jennifer Thornton |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Peptic Ulcer
Abdominal pain Pediatrics medicine.medical_specialty Anemia Sickle Cell Disease Kidney Bezoars Cholelithiasis hemic and lymphatic diseases medicine Humans Child Cholestasis Gastric Outlet Obstruction business.industry Gastroenterology Emergency department medicine.disease Appendicitis Diagnosis of exclusion Abdominal Pain Infarction Chronic Disease Cholecystitis Bezoar Female Differential diagnosis medicine.symptom business Constipation |
| Zdroj: | Journal of Clinical Gastroenterology. 48:99-105 |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/01.mcg.0000436436.83015.5e |
| Popis: | The differential diagnosis of abdominal pain is broad in any child, and further complicated in children with sickle cell disease (SCD). Acute causes of abdominal pain may require emergent surgery, such as for appendicitis or obstruction caused by a bezoar. Rapid intervention is necessary and life-saving in children with SCD and acute splenic or hepatic sequestration. The majority of children with SCD presenting to the physician's office or emergency department will have subacute reasons for their abdominal pain, including but not limited to constipation, urinary tract infection, peptic ulcer disease, and cholecystitis. Vaso-occlusive pain often presents in children as abdominal pain, but is a diagnosis of exclusion. The case of a 10-year-old girl with intermittent abdominal pain is used as a starting point to review the pathophysiology, diagnosis, and treatment of the most acute and common causes of abdominal pain in children with SCD. |
| Databáze: | OpenAIRE |
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