Acute painful vision loss and acute abdomen: a case of endogenous Clostridium perfringens endophthalmitis.
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Ultrasonography demonstrated thrombus within the portal venous system in a child who presented with abdominal pain and a fever. This helped lead to a diagnosis of appendicitis complicated by ascending septic thrombophlebitis. Ultrasound of the portal vein may be of value when investigating such children with atyptical abdominal pain.
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Infarction of the gallbladder, while rare, must now be included in the growing list of possible and proven complications of umbilical artery catheterization.
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Evaluation of abdominal pain in children poses a major challenge for the pediatrician and pediatric surgeon alike. Simple appendicitis remains one of the most difficult diagnoses in children. There has been an alarming increase in the incidence of perforated appendicitis, and professional delay has been found to be a factor in this increased rate. Therefore, this discussion focuses on appendicitis and its differential diagnosis.
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120 patients admitted as an emergency with localised abdominal pain were tested for abdominal-wall tenderness. Of the 24 patients with a positive test only 1 had a detectable intra-abdominal cause. In the remaining 23 no reason for the pain could be found.
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Two cases of geophagia (dirt eating) that were diagnosed radiographically are presented. The clinical presentation mimicked urgent surgical conditions. The characteristic radiographic appearance provided a major clue to the correct diagnosis. An intense clinical history is often necessary to reach the specific diagnosis and properly manage the condition.
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