Abstract
Recurrent abdominal pain is a common problem among children. Since its first description by John Apley in 1958, the condition has remained poorly understood with a multitude of factors being implicated in causation. The symptoms tend to be vague and investigations seldom show organic disease. But the importance to evaluate each child with recurrent abdominal pain should be considered important nevertheless, particularly, in protracted cases. Here, we present a case who presented with history of recurrent abdominal pain for several years before being diagnosed as a case of hereditary pancreatitis. This stresses the importance of evaluating each case with a detailed and complete history, physical examination and selected investigations.J Nepal Paediatr Soc 2015;35(1):57-58
Highlights
Abdominal pain is a fairly common condi on in children
We report a case of 11 year old girl, who presented with a history of recurrent abdominal pain since the age of four years and six months
The majority of the cases of recurrent abdominal pain are thought to be due to non-organic causes
Summary
Abdominal pain is a fairly common condi on in children. They are o en recurring, troublesome and agonising. An eminent Bri sh physician, John Apley, studied abdominal pain in children extensively. The pain, persisted, over the few years During this period, the child had undergone treatment with a variety of cocktail of pain medica ons and a ba ery of inves ga ons, which this me included endoscopy with collec on of bile for detec ng micro-lithiasis. The child was admi ed once again at the age of 11 years with severe abdominal pain with vomi ng. A family history of 5 family members (Figure 1) with chronic pancrea s was obtained on a detailed and careful family history
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