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A girl with gastric distension and hyperamylasemia

COZZI, GIORGIO
•
POROPAT, FEDERICO
•
NAVIGLIO, SAMUELE
•
BARBI, EGIDIO
2015
  • journal article

Periodico
ARCHIVES OF DISEASE IN CHILDHOOD. EDUCATION AND PRACTICE EDITION
Abstract
A 3-year-old girl was admitted with abrupt onset of acute severe abdominal pain and drowsiness, without vomiting or diarrhoea. No history of abdominal trauma was reported. On admission, she was moaning, her heart rate was 161 bpm, blood pressure was 108/72 mm Hg, capillary refill time was <2 s and she was apyrexial. On physical examination, there was marked abdominal distension, with generalised abdominal tenderness without peritoneal signs. Blood tests showed hyperamylasemia (780 IU/L), neutrophilia (white cell count 14×10^9/L; neutrophil 11.9×10^9/L) and hyperglycaemia (155 mg/dL–8.6 mmol/L). A supine plain abdominal X-ray showed a huge gastric bubble (figure 1). A nasogastric tube was inserted, and 500 mL of non-bilious fluid and 150 mL of gas were suctioned, with prompt improvement of symptoms.
DOI
10.1136/archdischild-2015-308986
WOS
WOS:000384685400011
Archivio
http://hdl.handle.net/11368/2880933
info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85031695709
http://ep.bmj.com/content/101/5.toc
Diritti
closed access
FVG url
https://arts.units.it/request-item?handle=11368/2880933
Soggetti
  • Accident & Emergency

  • Gastroenterology

  • Paediatric Practice

  • Paediatric Surgery

Scopus© citazioni
0
Data di acquisizione
Jun 14, 2022
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Web of Science© citazioni
0
Data di acquisizione
Mar 24, 2024
Visualizzazioni
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Data di acquisizione
Apr 19, 2024
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