Saudi Journal of Gastroenterology
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Year : 2011  |  Volume : 17  |  Issue : 4  |  Page : 295-296
Chronic abdominal pain in a child


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

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Date of Web Publication30-Jul-2011
 

How to cite this article:
Ahmed I, Singh S, Rawat JD. Chronic abdominal pain in a child. Saudi J Gastroenterol 2011;17:295-6

How to cite this URL:
Ahmed I, Singh S, Rawat JD. Chronic abdominal pain in a child. Saudi J Gastroenterol [serial online] 2011 [cited 2014 Jul 28];17:295-6. Available from: http://www.saudijgastro.com/text.asp?2011/17/4/295/82590


A 6-year-old boy presented to our out patients department with recurrent lower abdominal pain. Pain was started 2 years before intermittently, but it worsened over the past 6 months. Pain aggravated after eating meals. Patient's parent also gave a history of episodes of abdominal distension and constipation. Other symptoms, as well as his past history and family history, were otherwise unremarkable. Physical examination revealed a slightly distended abdomen. There was a huge intra-abdominal mass occupying the center of the abdomen. It was a single mass, freely mobile, firm in consistency, smooth surfaced with well defined margins, and nonballotable. Routine blood tests, including renal function and urine analysis, were normal. Computed tomography of the abdomen and pelvis revealed a huge heterogeneous mass extending from epigastrium to pelvis [Figure 1]. The entire small bowel loop was displaced laterally by the mass. There was no lymphadenopathy, and invasion of mass into the adjacent organ.
Figure 1: Contrast-enhanced computed tomography showing a huge heterogeneous mass occupying left abdomen; anteromedial to colon and shift of whole of small bowel to the right side.

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Q1. What is the diagnosis?



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1.Ilhan H, Tokar B, Isiksoy S, Koku N, Pasaoglu O. Giant mesenteric lipoma. J Pediatr Surg 1999;34:639-40.  Back to cited text no. 1
    
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3.Pereira JM, Sirlin CB, Pinto PS, Casola G. CT and MR imaging of extrahepatic fatty masses of the abdomen and pelvis: Techniques, diagnosis, differential diagnosis, and pitfalls. Radiographics 2005;25:69-85.  Back to cited text no. 3
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4.Tani T, Abe H, Tsukada H, Kodama M. Lipomatosis of the ileum with volvulus: Report of a case. Surg Today 1998;28:640-2.  Back to cited text no. 4
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Correspondence Address:
Intezar Ahmed
Department of Pediatric Surgery, CSM Medical University, Lucknow -226 003
India
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DOI: 10.4103/1319-3767.82590

PMID: 21727742

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