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ISSN: 2161-0665
Pediatrics & Therapeutics
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Unusual Cause of Abdominal Pain in a Child

Eyad Altamimi*

Department of Pediatrics, Mu'tah University, Jordan

*Corresponding Author:
Eyad Altamimi
Assistant Professor, Pediatric Gastroenterologist
Department of Pediatrics, Faculty of Medicine
Mu'tah University, Alkarak, 61710, Jordan
Tel: 00962779126857
E-mail: [email protected]

Received Date: April 28, 2015; Accepted Date: April 29, 2015; Published Date: April 30, 2015

Citation: Altamimi E (2015) Unusual Cause of Abdominal Pain in a Child . Pediat Therapeut 5:i103. doi: 10.4172/2161-0665.1000i103

Copyright: © 2015 Al-Agha AE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Clinical Image

A 3-year-old boy presented with left upper abdominal pain mainly when eating. No nausea, vomiting or change in bowel habit. His exam showed a well-grown child with normal growth parameters. His vital signs were stable. He had no pallor or jaundice. His abdominal exam showed a fixed indentation at the left subcostal area. No tenderness or organomegaly and the rest of exam were not significant.

His basic work-up was normal. Abdominal CT scan showed that the anterior cartilaginous part of the left lower rib is abnormal, with indentation on the abdominal wall and compressing of the anterior wall of the stomach (Figure 1).

pediatrics-therapeutics-abdominal-scan

Figure 1: Abdominal CT scan.

During eating with the distention of the stomach, the compressing on the stomach wall exaggerated which seemed to cause him the pain. Patient was referred to surgery. The family refused any surgical intervention. The patient did well on follow-up, although the pain still present.

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