Category Archives: Abdominal Distention

Abdominal Pain From Abdominal Scars

Abdominal Pain From Abdominal Scars Adhesive small bowel obstruction occurs in 2-15% of children following a laparotomy. Seventy five percent of such patients present with adhesive obstruction between 2 weeks and 3 months after their operation. Eighty percent will occur

Gonadal Pain in Males. Gonadal Pain in Females

Gonadal Pain in Males In males with lower abdominal pain, the scrotum and its contents must be examined. Testicular torsion is a surgical emergency and must be treated within 6 hours of the onset of the pain to save the

Ectopic Pregnancy

Ectopic pregnancy must be considered in any postmenarchal, sexually active adolescent with abdominal pain. It is uncommon and usually seen in late adolescence. Ectopic pregnancy occurs in 0.5-3% of all pregnancies. Signs of ectopic pregnancy include abdominal pain in any

Gallbladder Disease

Cholecystitis in children occurs most commonly in the adolescent female, but it may affect infants who are only a few weeks of age. Cholecystitis is suggested by RUQ pain, back pain, or epigastric pain, radiating to the right subscapular area,

Midgut Volvulus

Midgut volvulus results from the improper rotation and fixation of the duodenum and colon (malrotation) resulting in a long, narrow mesenteric base. Obstruction of the superior mesenteric artery may cause ischemic necrosis of the gut, which may be fatal. Canadian


The history and physical exam, including rectal (and pelvic exam in females), are diagnostic of appendicitis in 80% of the cases. Perforation often follows the onset of symptoms in 24-48 hours. Beyond the neonatal period, but <2 years old, gastroenteritis

Clinical Evaluation. Physical Examination

History should include the quality, timing, and type of abdominal pain. Pain of sudden onset often denotes colic, perforation or acute ischemia caused by torsion or volvulus. Slower onset of pain suggests inflammatory conditions, such as appendicitis, pancreatitis, or cholecystitis.

Abdominal Pain

The evaluation of abdominal pain is problematic because the pain is often difficult to localize, and the history in children is often nonspecific. In children the differential diagnosis of abdominal pain is extensive. Localization of Abdominal Pain Generalized pain in

Bloating and Abdominal Distention

History Abdominal distention is a common complaint, particularly among women, who often note that the problem becomes more pronounced during the latter part of the day. Patients and physicians usually ascribe the problem to excess gaseousness. The ingestion of food