1. The unusual cause of recurrent abdominal pain in an 11-year-old boy.
- Author
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Chroustová D, Volf V, Dzupa V, Kryl P, and Mandys V
- Subjects
- Child, Diagnosis, Differential, Foreign Bodies, Humans, Inflammation, Leukocytes metabolism, Magnetic Resonance Imaging, Male, Technetium Tc 99m Exametazime, Tomography, Emission-Computed, Single-Photon methods, Tomography, X-Ray Computed, Ultrasonography methods, Abdomen diagnostic imaging, Abdominal Pain diagnosis, Abdominal Pain diagnostic imaging
- Abstract
The case of an 11-year-old boy with recurrent abdominal pain is presented. Physiological findings were found normal during a clinical investigation, as well as many laboratory tests, ultrasonography and CT of abdomen. Only a high level of sedimentation rate and the focus of increased activity in the sacral region on scintigraphy using 99mTc-HMPAO (hexamethypropyleneaminooxime) labelled leukocytes were found. The other findings on bone scintigraphy, X-ray and MRI led to a deflection of the correct diagnosis. The real culprit proved to be an ingested foreign body (a piece of a wooden skewer) that the patient failed to reveal.
- Published
- 2006