Saudi Journal of Gastroenterology
Home About us Instructions Submission Subscribe Advertise Contact Login    Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
Users Online: 1520 

Table of Contents   
Year : 2011  |  Volume : 17  |  Issue : 4  |  Page : 295-296
Chronic abdominal pain in a child

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

Click here for correspondence address and email

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 2021 Jul 27];17:295-6. Available from:

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.

Click here to view

   Question Top

Q1. What is the diagnosis?

Click here to view answer. View Answer

   References Top

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
2.Livne PM, Zer M, Shmuter Z, Dintsman M. Acute intestinal obstruction caused by necrotic mesenteric lipoma: A case report. Am J Proctol Gastroenterol Colon Rectal Surg. 1981;32:19-22.   Back to cited text no. 2
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
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

Correspondence Address:
Intezar Ahmed
Department of Pediatric Surgery, CSM Medical University, Lucknow -226 003
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.82590

Rights and Permissions


  [Figure 1]

This article has been cited by
1 Surgery for Abdominal Wall Pain Caused by Cutaneous Nerve Entrapment in Children-A Single Institution Experience in the Last 5 Years
Mirko ˇganjer,Davor Bojic,Igor Bumci
Iranian Red Crescent Medical Journal. 2013; 15(2): 157
[Pubmed] | [DOI]
2 Surgery for abdominal wall pain caused by cutaneous nerve entrapment in children-a single institution experience in the last 5 years
Žganjer, M. and Bojić, D. and BumĨi, I.
Iranian Red Crescent Medical Journal. 2013; 15(2)


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  

    Article Figures

 Article Access Statistics
    PDF Downloaded291    
    Comments [Add]    
    Cited by others 2    

Recommend this journal