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The acute abdomen in children.

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.

Abdomen, Acute↗

Abdominal-wall tenderness: A useful sign in the acute abdomen.

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.

Abdomen, Acute↗

The acute abdomen.

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Abdomen, Acute↗

Geophagia: an uncommon cause of acute abdomen.

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.

Abdomen, Acute↗