Un dolore addominale “a sorpresa”: quando lo conosci lo riconosci

Clinical Quiz

A “surprising” abdominal pain: when you know it, you recognize it

Virginia Lombardo², Flavio Labriola², Francesca Sbravati², Patrizia Alvisi²

¹Scuola di Specializzazione in Pediatria Generale e Specialistica, Università Alma Mater Bologna ²Programma Dipartimentale di Gastroenterologia Pediatrica, Ospedale Maggiore, Bologna

A 15 years-old girl from Pakistan, with a previous diagnosis of primary ciliary dyskinesia, was admitted for recurrent episodes of abdominal pain and vomiting. Physical examination revealed a slightly tender abdomen and a palpable soft abdominal mass. Findings of laboratory studies and fecal calprotectin were normal and abdominal X-ray showed only severe constipation. Abdominal ultrasound revealed a mass of dilated small-bowel loops and peritoneal effusion