Clinical profile of children presenting with acute abdomen in a tertiary care centre of South Tamilnadu: a retrospective observational study

Jenish Rajma; Arun A. C.; Jeyabalaji R. V.; Natarajarathinam S.; Mathevan G.

doi:10.18203/2349-3291.ijcp20164597

Authors

Jenish Rajma Department of Pediatrics, Velammal Medical College Hospital, Madurai, Tamilnadu, India
Arun A. C. Department of Gastroenterology, Velammal Medical College Hospital, Madurai, Tamilnadu, India
Jeyabalaji R. V. Department of Pediatrics, Velammal Medical College Hospital, Madurai, Tamilnadu, India
Natarajarathinam S. Department of Pediatrics, Velammal Medical College Hospital, Madurai, Tamilnadu, India
Mathevan G. Department of Pediatrics, Velammal Medical College Hospital, Madurai, Tamilnadu, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20164597

Keywords:

Acute abdomen, Children

Abstract

Background: Acute abdominal pain is a common presentation in both outpatient visits and emergency room. It can be organic or functional, medical or surgical. We did an observational study to evaluate the clinical profile of children presenting with acute abdominal pain <7 days duration and analyse the various medical and surgical causes for this clinical presentation.

Methods: Children <15 years presenting with acute onset pain abdomen <7 days with or without fever, vomiting, loose stools or urinary symptoms and admitted in pediatric ward were included in the study. Out of the 205 children enrolled in the study, 120 were males and 85 were females.

Results: Only 15.6% of cases were of surgical etiology requiring elective or emergency surgical interventions. Among the 173 children diagnosed with variety of medical conditions, the most common condition presenting with pain abdomen was acid peptic disease (16%) followed by acute gastro enteritis(14%) and Urolithiasis(13%). Increasing prevalence of acute pancreatitis and type 1 diabetes mellitus (13 cases each) in children were observed.

Conclusions: Long term follow up of children presenting with mesenteric adenopathy without other significant pathology is warranted to avoid unnecessary empirical antituberculous treatment. Our study helped us to identify the different spectrum of etiologies across the three age groups (1-5 years, 6-10 years, 11-15 years) and some diseases were showing male or female predilection.

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References

Kim JS. Acute abdominal pain in children. Pediatric gastroenterology. Pediatr Gastroenterol Hepatol Nutr. 2013;16(4):219-24.

D'Agostino J. Common abdominal emergencies in children. Emerg Med Clin North Am. 2002;20(1):139-53.

Vignault F, Filiatrault D, Brandt ML, Garel L, Grignon A, Ouimet A. Acute appendicitis in children: evaluation with US. Radiol. 1990;176:501-4.

Erkan T, Cam H, Ozkan HC, 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.

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

Dabelea D, Mayer-Davis EJ. Prevalence of type 1 and type 2 diabetes mong children and adolescents from 2001 to 2009. JAMA. 2014;311(17):1778-86.

Pothapregada S, Kamalakannan B, Thulasingham M, Sampath S. Clinically profiling pediatric patients with dengue. J Glob Infect Dis. 2016;8(3):115-20.

Yang WC, Chen CY, Wu HP. Etiology of non-traumatic acute abdomen in pediatric emergency departments. World J Clin Cases. WJCC. 2013;1(9):276-84.

Kato S, Nishino Y, Ozawa K, Konno M, Maisawa S, Toyoda S, et al. The prevalence of Helicobacter pylori in Japanese children with gastritis or peptic ulcer disease. J Gastroenterol. 2004;39(8):734-8.

Uygur-Bayramiçli O, Dabak G, Dabak R. A clinical dilemma: abdominal tuberculosis. World J Gastroenterol. 2003;9(5):1098-101.

Sikorska-Wiśniewska G, Liberek A, Góra-Gebka M, Bako W, Marek A, Szlagatys-Sidorkiewicz A, et al. Mesenteric lymphadenopathy - a valid health problem in children. Med Wieku Rozwoj. 2006;10(2):453-62.