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Recurrent abdominal pain in a 7-year-old girl
  1. Andrea Trombetta1,
  2. Egidio Barbi1,2,
  3. Federica Pederiva3
  1. 1 Paediatric Department, University of Trieste, Trieste, Italy
  2. 2 Paediatric Department, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy
  3. 3 Paediatric Surgery, Burlo Garofalo Pediatric Institute, Trieste, Italy
  1. Correspondence to Dr Andrea Trombetta, Pediatrics, University of Trieste, Trieste 34127, Italy; andreamer91{at}live.it

https://doi.org/10.1136/emermed-2020-211046

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    Clinical introduction

    A 7-year-old girl was admitted to the emergency department for a 2-month history of recurrent abdominal pain, accompanied by nocturnal awakening, vomiting and interruption of daily activities. Her medical history was unremarkable, her family had recently moved from a low-income country.

    At admission, the girl was afebrile, with mild abdominal tenderness without guarding. Blood tests showed neutrophilic leucocytosis (white blood cells 21 740/mL, N 18 620/mL), with haemoglobin 14 g/dL and thrombocytosis (platelets 685 000/mL) with C-reactive protein (CRP) level (0.5 mg/dL, normal range 0–0.5 mg/dL). An abdominal ultrasound scan failed to show abnormalities. Twelve hours after admission, the abdominal pain worsened, the temperature spiked to 39°C, the abdominal examination showed …

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    Footnotes

    • Contributors AT wrote the first draft of the manuscript. PF followed clinically the patient. EB and FP made the revision of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.