Acute Abdominal Pain

Medical Case Details:

A 10-year-old child paid a visit to my clinic with complaints of abdominal pain for the past 2 hours and one episode of vomiting. On palpating, the child had right iliac fossa tenderness and scrotal pain as well, but there is no fever.

Discussions

Dr. Amara Deepthi Pravallika
General Surgeon

Hi
It can be torsion testis or hernia with obstruction..are there any clinical signs related to these both

03.May, 01:19pm

Dr. Toleti Satya Lalitha Tejaswini
General Practitioner

No clinical evidence of either of them. Ultrasound report in favour of appendicitis

03.May, 02:35pm

Dr. Hussain Shabbir Kotawala
General Surgeon

Get cbc dne,
if stil in doubt, CT abdomen..
til then start gud analgesic ,

03.May, 04:18pm

Dr. Prakash Chandra Girdhar Lal Nagar
Child Health Specialist

I agree with Dr Deepthi , as per the clinical scenario with scrotal tenderness very first to r/o torsion . Its unusual to have scrotal tenderness due to appendicitis. Did radiologist put the prob on scrotum to r/o testicular causes including orchitis or epididymitis??
CT is a definitely good option to confirm abdominal cause.

03.May, 04:59pm

Dr. Toleti Satya Lalitha Tejaswini
General Practitioner

Yes I had similar doubt and spoke to the radiologist and ruled out.

03.May, 05:18pm

Dr. Amara Deepthi Pravallika
General Surgeon

Then better to proceed with cbc and cect abdomen..

03.May, 09:16pm

Dr. Sudhakar Palanisamy
Paediatrician

If there is significant unilateral scrotal tenderness then its Torsion unless proved otherwise

24.May, 12:06pm

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