Editor's quiz: GI snapshot
A child with upper abdominal pain and pancreatitis
1 Department of Gastroenterology, Pushpawati Singhania Research Institute, New Delhi, India
2 Department of Radiodiagnosis, Pushpawati Singhania Research Institute, New Delhi, India
3 Department of Gastroenterology, Pediatric Gastroenterology Division, Pushpawati Singhania Research Institute, New Delhi, India
Correspondence to:
Dr R Talukdar, Department of Gastroenterology, Pushpawati Singhania Research Institute, Sheikh Sarai II, Press Enclave Marg, New Delhi 110017, India; rup_talukdar@yahoo.com
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
An 11-year-old male child presented at the emergency department with history of rapid onset upper abdominal pain of 8 h duration. The pain was associated with nausea and vomiting, and there was radiation of pain to the back. There was an increase in pain on taking food. However, there were no relieving factors. On clinical examination, he was found to be afebrile, his vitals were stable and he had tenderness over the epigastrium and left hypochondrium. Bowel sounds were sluggish. The rest of the systemic examination was normal.
Routine blood investigation carried out in the emergency department revealed a total leucocyte count of 7800/mm3 with 64% polymorphonuclear cells, haemoglobin of 12.4 gm/dl, erythrocyte sedimentation rate of 40 mm after 1 h, total bilirubin of 1.2 mg/dl, aspartate aminotransferase of 38 IU/l, alanine aminotransferase of 34 IU/l and alkaline phosphatase of 166 IU/l. Serum amylase was 986 IU. Plain x-ray
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ANSWER
Gut 2008 57: 124.[Extract] [Full Text] [PDF]
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