Appraisal Of Enteralgia(Abdominal Pain) In Children And Its Interrelationship With Diagnostic Sonography”A Prospective Study

Introduction: Abdominal pain in a child is one of the most common presentations with both trivial and life-threatening etiologies, ranging from functional pain to acute appendicitis. In the current era, ultrasonography is the most important and cost effective diagnostic modality in the evaluation of children with acute or chronic abdominal pain. As this is anon-ionizing imaging modality, curtailing the risk of exposure to ionizing radiation, it is vital to understand the yield of ultrasonography to diagnose various abdominal pathologies in children with abdominal pain. Aims and objectives: To study the incidence of pain abdomen in children aged between 1 to 12 years and its etiopathological correlation with ultrasonography. Methodology: This is a Prospective observational study conducted over a period of 18 months from January 2012 to June 2013 in the Pediatric department of Princess Esra Hospital, Deccan College of medical sciences, Hyderabad, Andhra Pradesh, India. Results: A total of 100 cases were enrolled among which 51% were male children and 49% were female children. Majority of the cases (55%) were aged between 6-10yrs. The most important associated symptoms were fever and vomiting (75%). Mesenteric lymphadenitis was the commonest ultrasound finding. Conclusion: This study showed that 96% of children had contributed to pain abdomen which is more common than functional cause 4%. Mesenteric lymphadenitis could be of organic etiology and is the main cause of recurrent abdominal pain in children. It is suggested that further studies be carried out in this field.

Author(s): U Narayan Reddy, SwathiChacham, Mohd Ahmed ullahkhan, B Sugunakar reddy, Altafnaseem, Mir sum Sam ali khurram and Mohd Nasir Mohiuddin

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