Abstract

Three cases of acute abdomen in children are described where a diagnosis ofpneumonia was recorded as the cause of the abdominal pain. In each case, pulmonary consolidation was identified on the plain abdominal radiograph. Thediagnostic value of plain abdominal radiographs in children is increased bydeliberately including the lung bases. Acute abdominal pain is a common cause of paediatric emergency referral andadmission to hospital. Acute appendicitis is the most common identifiable organic cause (Drake, 1980). Extensive lists can be made of other possible causes (Table I), arid investigations are directed to reaching a working diagnosis within a few hours of admission.

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