1.Lymphoma in children presenting with acute abdominal pain: report of two cases.
Xu YAN ; Xiaobo MA ; Ye LIU ; Limei QU ; Xiumei DUAN ; Yabin ZOU ; Jing BAI ; Yinping WANG
Chinese Journal of Pathology 2014;43(7):491-492
Abdominal Pain
;
etiology
;
Acute Pain
;
etiology
;
Child
;
Humans
;
Lymphoma
;
complications
2.Recurrent abdominal pain, peritoneal effusion, and eosinophilia in a boy aged 17 years.
Kun YANG ; Rong-Hua LUO ; Yi-Lai SUN
Chinese Journal of Contemporary Pediatrics 2021;23(11):1169-1173
A boy, aged 17 years, was admitted again due to abdominal pain, diarrhea, and eosinophilia for 3 years, which worsened for 3 days. Three years ago, the boy suffered from abdominal pain and diarrhea after eating yogurt; color Doppler ultrasound showed a large amount of peritoneal effusion, and routine blood test, bone marrow cell morphology, and ascites histological examination showed a large number of eosinophils. Three days ago, he was admitted again due to abdominal pain and diarrhea. The gastrointestinal endoscopy showed eosinophil infiltration in the angle of stomach. The boy was diagnosed with eosinophilic gastrointestinal disease (eosinophilic gastroenteritis). He was improved after the treatment with glucocorticoids and dietary avoidance, and no recurrence was observed during the one-year follow-up. It is concluded that for children who attend the hospital due to gastrointestinal symptoms such as abdominal pain and diarrhea, if there is an increase in peripheral blood eosinophils, it is necessary to consider the possibility of eosinophilic gastrointestinal disease, and eosinophil infiltration and abnormal eosinophil count in gastrointestinal tissue based on endoscopic biopsy may be the key to diagnosis.
Abdominal Pain/etiology*
;
Ascitic Fluid
;
Enteritis
;
Eosinophilia/etiology*
;
Gastritis
;
Humans
;
Male
3.Risk factors of pain during colonoscopic examination.
Xue-Ying LAI ; Xiao-Wei TANG ; Si-Lin HUANG ; Wei GONG ; Fa-Chao ZHI ; Si-de LIU ; Ye CHEN
Journal of Southern Medical University 2016;37(4):482-487
OBJECTIVETo investigate the risk factorsthat predict pain during colonoscopy for decision of sedation or analgesia before the examination.
METHODSA total of 283 consecutive patients undergoing colonoscopicexamination at Nanfang Hospital between July, 2016 and September, 2016were retrospectively analyzed. The clinical data and visual analogue scale after the examination were analyzed to identify the risk factors for pain during colonoscopy using univariate analysis and multivariate logistic regression. A risk stratification model for predicting pain in colonoscopy was established.
RESULTSThe completion rate of the procedure was significantly lower in patients with a visual analogue scale ≥5 (P<0.000). Univariate analysis showed that female patients, previous abdominal surgery, no previous experience with colonoscopy, complaint of abdominal pain before colonoscopy, insufficient experience of the endoscopists, patient's anticipation of high painlevelbefore examination, and a low body mass index (BMI) were all associated with the experience of pain in colonoscopy (P<0.05). Multivariate logistic regressionanalysis identified BMI index (X), level of experience of the endoscopist (A, A, A) and the patient's anticipation of painlevel (X) as the risk factors of pain in colonoscopy(P<0.05), and the establishedmodel with the 3 variables was: P=e/(1+e),Y=0.049-0.124×X-0.97×X+1.713×A+0.781×A+0.147×A, which showed a sensitivity of 70.3% and a specificity of 67.5%for predicting pain in colonoscopy.
CONCLUSIONThe patient's anticipation of a high pain level in colonoscopy, insufficient experience of the endoscopist, and a low BMI are the independent risk factors for pain in colonoscopy, and evaluation of these factors can help in the decision-making concerning the use of sedation or analgesia before colonoscopy.
Abdominal Pain ; etiology ; Analgesia ; Colonoscopy ; adverse effects ; Conscious Sedation ; Female ; Humans ; Male ; Pain Management ; Pain Measurement ; Retrospective Studies ; Risk Factors
4.A Case of Kawasaki Disease with Colonic Edema.
Journal of Korean Medical Science 2008;23(4):723-726
Kawasaki disease (KD) is recognized as a systemic vasculitis affecting multi-organ with inflammatory changes. The commonest and most serious complication of KD is coronary artery aneurysm, but KD may cause other organic complications beside cardiac problems. Gastrointestinal tract also present complications of KD in which, for example, hepatic dysfunction, pancreatitis, intussusception, colonic obstruction, intestinal pseudo-obstruction, and bowel edema are included. Among them, colonal wall edema is left unknown in the incidence, and it has been reported even if rare. In this report, we describe a case of KD with colonal wall edema, occurred in 5-yr-old boy who complained of severe abdominal pain and vomiting.
Abdominal Pain/etiology
;
Child, Preschool
;
Colonic Diseases/*etiology
;
Edema/*etiology
;
Humans
;
Male
;
Mucocutaneous Lymph Node Syndrome/*complications
8.Association of mesentery lymphadenectasis and recurrent abdominal pain in children.
Xiu-Zhen QI ; Zhong-You MEN ; Yan XU ; Shu-Feng LIU
Chinese Journal of Contemporary Pediatrics 2008;10(5):673-673
Abdominal Pain
;
etiology
;
Child
;
Child, Preschool
;
Female
;
Humans
;
Hyperplasia
;
Lymph Nodes
;
pathology
;
Male
;
Mesentery
;
pathology
;
Recurrence
10.One case of acute intermittent porphyria.
Ping ZHOU ; Zhi-min REN ; Qiang GAO
Chinese Journal of Pediatrics 2004;42(7):531-531