Case 6-2016: A 10-Year-Old Boy with Abdominal Cramping and Fevers

A 10-year-old boy was seen in the gastroenterology clinic because of abdominal cramping and fevers. Abdominal imaging studies revealed circumferential thickening of a segment of the colonic wall and mesenteric lymphadenopathy. A diagnostic procedure was performed. Presentation of Case Dr. Hasan Merali (Pediatrics): A 10-year-old boy was seen in the gastroenterology clinic of this hospital because of intermittent abdominal cramping and fevers. The patient had been well until approximately 3 weeks before this presentation, when intermittent fevers to a temperature of 39.7°C occurred, followed by episodes of cramping in the periumbilical and subumbilical abdominal regions, without vomiting. He had one or two bowel movements daily; the stools were formed, and hematochezia had occurred on one or two occasions. He had reportedly been unable to attend school for 2.5 weeks. Two days before this presentation, he was . . .