Saudi Journal of Gastroenterology
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Year : 2011  |  Volume : 17  |  Issue : 3  |  Page : 220-221
Epigastric pain and fever in a child


Department of Pediatric Surgery, CSM Medical University, Lucknow, India

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Date of Web Publication4-May-2011
 

How to cite this article:
Ahmed I, Singh S, Chandra N, Kureel SN. Epigastric pain and fever in a child. Saudi J Gastroenterol 2011;17:220-1

How to cite this URL:
Ahmed I, Singh S, Chandra N, Kureel SN. Epigastric pain and fever in a child. Saudi J Gastroenterol [serial online] 2011 [cited 2019 Aug 22];17:220-1. Available from: http://www.saudijgastro.com/text.asp?2011/17/3/220/80390


An eight-year-old boy was admitted for evaluation of upper abdominal pain and fever. One year before the admission, he had an episode of subacute intestinal obstruction, which was managed conservatively. During current admission; on physical examination, we noticed a vague upper abdominal nontender distention but no definite palpable abdominal lump. Hemogram was within normal limit except leucocytosis. Serum amylase was markedly raised, and serum lipase was marginally increased. X-ray abdomen erect was suggestive of ground glass appearance with scanty amount of air in abdomen and without any pathological air-fluid level. Ultrasound abdomen showed fluid collection in between the stomach and pancreas. Computer tomography with the administration of oral contrast medium revealed a cavity in hepatogastric fossa with an air-fluid level. The gastrointestinal contrast material had not entered the cavity [Figure 1].
Figure 1: Axial view of computed tomography scan abdomen showing an air-fluid level containing cavity in between liver and stomach

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What is the diagnosis?



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   References Top

1.Fukuya T, Hawes DR, Lu CC, Barloon TJ. CT of abdominal abscess with fistulous communication to the gastrointestinal tract. J Comput Assist Tomogr 1991;15:445-9.   Back to cited text no. 1
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2.Hui GC, Amaral J, Stephens D, Atenafu E, John P, Temple M, et al. Gas distribution in intraabdominal and pelvic abscesses on CT is associated with drainability. AJR Am J Roentgenol 2005;184:915-9.  Back to cited text no. 2
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3.Goldman R, Hunter TB, Haber K. The silent abdominal abscess: Role of radiologist. AJR Am J Roentgenol 1983;141:21-5.  Back to cited text no. 3
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Correspondence Address:
Intezar Ahmed
Department of Pediatric Surgery, CSM Medical University, Lucknow-226 003
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.80390

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