An Adolescent Female With Acute Abdominal Pain: A Rare Case in Pediatrics
We present the case of a 13-year-old female with a 48-hour history of diffuse abdominal pain, fever, nausea, and vomiting, with worsening in the last few hours. On examination, she had signs of acute abdomen, and laboratory tests showed elevated acute phase reactants (APR). Abdominal ultrasound excl...
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Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-03, Vol.15 (3), p.e36296 |
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description | We present the case of a 13-year-old female with a 48-hour history of diffuse abdominal pain, fever, nausea, and vomiting, with worsening in the last few hours. On examination, she had signs of acute abdomen, and laboratory tests showed elevated acute phase reactants (APR). Abdominal ultrasound excluded acute appendicitis. A history of risky sexual behavior was reported, so pelvic inflammatory disease (PID) was considered. Although appendicitis is the most common cause of acute abdomen in adolescents, PID should be suspected in adolescents with risk factors. Prompt treatment is necessary to avoid possible complications and sequelae. |
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On examination, she had signs of acute abdomen, and laboratory tests showed elevated acute phase reactants (APR). Abdominal ultrasound excluded acute appendicitis. A history of risky sexual behavior was reported, so pelvic inflammatory disease (PID) was considered. Although appendicitis is the most common cause of acute abdomen in adolescents, PID should be suspected in adolescents with risk factors. Prompt treatment is necessary to avoid possible complications and sequelae.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.36296</identifier><identifier>PMID: 37077592</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Abdomen ; Adolescence ; Antibiotics ; Appendicitis ; Case reports ; Condoms ; Disease prevention ; Emergency medical care ; Females ; Fever ; Gonorrhea ; Gynecology ; Infectious Disease ; Infertility ; Laboratories ; Medical diagnosis ; Obstetrics/Gynecology ; Pain ; Pathology ; Pediatrics ; Pelvic inflammatory disease ; Pregnancy complications ; Serology ; Sexual behavior ; Teenagers ; Ultrasonic imaging ; Urine ; Vomiting</subject><ispartof>Curēus (Palo Alto, CA), 2023-03, Vol.15 (3), p.e36296</ispartof><rights>Copyright © 2023, Pérez-Arenas et al.</rights><rights>Copyright © 2023, Pérez-Arenas et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Pérez-Arenas et al. 2023 Pérez-Arenas et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-ae6554e6ef24b4d4ba657734374194478ff565387d19cb2c94092491d3fbb12d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108891/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10108891/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37077592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pérez-Arenas, Sr, Maria Elena</creatorcontrib><creatorcontrib>De Miguel Cáceres, Cristina</creatorcontrib><creatorcontrib>Ferreiro-Mazón García-Plata, Paloma</creatorcontrib><creatorcontrib>Pérez-Hernández, Pedro Luis</creatorcontrib><creatorcontrib>García Sánchez, Paula</creatorcontrib><title>An Adolescent Female With Acute Abdominal Pain: A Rare Case in Pediatrics</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>We present the case of a 13-year-old female with a 48-hour history of diffuse abdominal pain, fever, nausea, and vomiting, with worsening in the last few hours. 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On examination, she had signs of acute abdomen, and laboratory tests showed elevated acute phase reactants (APR). Abdominal ultrasound excluded acute appendicitis. A history of risky sexual behavior was reported, so pelvic inflammatory disease (PID) was considered. Although appendicitis is the most common cause of acute abdomen in adolescents, PID should be suspected in adolescents with risk factors. Prompt treatment is necessary to avoid possible complications and sequelae.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>37077592</pmid><doi>10.7759/cureus.36296</doi><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Adolescence Antibiotics Appendicitis Case reports Condoms Disease prevention Emergency medical care Females Fever Gonorrhea Gynecology Infectious Disease Infertility Laboratories Medical diagnosis Obstetrics/Gynecology Pain Pathology Pediatrics Pelvic inflammatory disease Pregnancy complications Serology Sexual behavior Teenagers Ultrasonic imaging Urine Vomiting |
title | An Adolescent Female With Acute Abdominal Pain: A Rare Case in Pediatrics |
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