Top

Published in:

01-12-2021 | Malaria | Review Article

Pain Abdomen in Children in Tropics

Published in: Indian Journal of Surgery | Issue 6/2021

Abstract

Pain abdomen in the children in the tropics is an intriguing problem. In the tropical region, pain abdomen in children harbinger physiological conditions like infantile colic to life-threatening pancreatitis. Ambiguous presentations and nonverbal communications in these children make decision-making challenging. For timely diagnosis, an index of suspicion is a must. In the absence of pathognomonic features of underlying conditions, the repeated examination is mandatory. Early treatment will prevent many catastrophes in these children. This review will focus on different disease conditions in the tropics which present as pain abdomen in the children. Newer modality in investigation and paradigm shift in the management of some conditions will be highlighted.

Prüss-Ustün A, Bartram J, Clasen T, Colford JM Jr, Cumming O, Curtis V, Bonjour S, Dangour AD, de France J, Fewtrell L, Freeman MC, Gordon B, Hunter PR, Johnston RB, Mathers C, Mäusezahl D, Medlicott K, Neira M, Stocks M, Wolf J, Cairncross S (2014) Burden of disease from inadequate water, sanitation and hygiene in low- and middle-income settings: a retrospective analysis of data from 145 countries. Trop Med Int Health TM IH 19:894–905. https://doi.org/10.1111/tmi.12329CrossRefPubMed

Silen W (2010) The acute abdomen in Tropics: Cope’s early diagnosis of the acute abdomen, 22nd edn. Oxford University Press, Oxford

Conteh L, Engels T, Molyneux DH (2010) Socioeconomic aspects of neglected tropical diseases. Lancet Lond Engl 375:239–247. https://doi.org/10.1016/S0140-6736(09)61422-7CrossRef

King CH (2010) Parasites and poverty: the case of schistosomiasis. Acta Trop 113:95–104. https://doi.org/10.1016/j.actatropica.2009.11.012CrossRefPubMed

Utzinger J, Becker SL, Knopp S, Blum J, Neumayr AL, Keiser J, Hatz CF (2012) Neglected tropical diseases: diagnosis, clinical management, treatment and control. Swiss Med Wkly 142:w13727. https://doi.org/10.4414/smw.2012.13727CrossRefPubMed

Hotez PJ, Molyneux DH, Fenwick A, Kumaresan J, Sachs SE, Sachs JD, Savioli L (2007) Control of neglected tropical diseases. N Engl J Med 357:1018–1027. https://doi.org/10.1056/NEJMra064142CrossRefPubMed

Shakya KN, Dongol UMS, Khadka SB (2008) A study of abdominal pain in children. JNMA J Nepal Med Assoc 47:193–196PubMed

Cook GC (2009) Tropical gastroenterological problems. In: Cook GC, Zumla AI (eds) Manson’s Tropical Diseases, 22nd edn. Suanders Elsevier, China

Tasande A, Vilhekar K, Jain M, Atkari S (2006) Clinico- haematological profile of cerebral malaria in a rural hospital. JIACM 7:308–312

10.

Dass R, Barman H, Duwarah SG, Deka NM, Jain P, Choudhury V (2010) Unusual presentations of malaria in children: an experience from a tertiary care center in North East India. Indian J Pediatr 77:655–660. https://doi.org/10.1007/s12098-010-0055-8CrossRefPubMed

11.

Gordon S, Bresennel DJ, Goldstein JA, Rosner F (1988) Malaria. A city hospital experience. Arch Intern Med 148:1569–1571. https://doi.org/10.1001/archinte.148.7.1569CrossRefPubMed

12.

Rhodes MM, Bates DG, Andrews T, Adkins L, Thornton J, Denham JM (2014) Abdominal pain in children with sickle cell disease. J Clin Gastroenterol 48:99–105. https://doi.org/10.1097/01.mcg.0000436436.83015.5eCrossRefPubMed

13.

Yost J (2002) Amebiasis. Pediatr Rev 23:293–294. https://doi.org/10.1542/pir.23-8-293CrossRefPubMed

14.

Bammigatti C, RamaSubramanian NS, Kandhiravan T et al (2013) Percutaneous needle aspiration in uncomplicated amoebic liver abscess:arandomized trial. Trop.Doct 43:19–22. https://doi.org/10.1177/0049475513481767CrossRefPubMed

15.

Kumar R, Alok R, Ruchika N et al (2019) Evidence –based therapeutic dilemma in the management of uncomplicated amoebic liver abscess : a systematic review and meta-analysis. Indian J Gastroenterol. https://doi.org/10.1007/s12664-019-01004-y

16.

Kumar R, Anand U, Priyadarshi RN et al (2019) Management of amoebic peritonitis due to ruptured amoebic liver abscess: it is time for paradigm shift. JGH Open 3:1–2. https://doi.org/10.1002/jgh3.12144CrossRef

17.

Weatherhead JE, Hotez PJ (2015) Worm infections in children. Pediatr Rev 36:341–352; quiz 353–354. https://doi.org/10.1542/pir.36-8-341CrossRefPubMed

18.

Kumar R, Kumar A, Bhadani UK et al (2018) Intraoperative anaphylaxis due to rupture of Ascaris lumbricoides. Indian J Anaesth 62:998–1000. https://doi.org/10.4103/ija.IJA_435_18CrossRefPubMedPubMedCentral

19.

Mosiello G, Adorisio O, Abriola G et al (2003) Asariasis as a cause of acute abdomen: a case report. Paediatr Med Chir 25:452–454

20.

Panidis S, Paramythiotis D, Panagiotou D, Batsis G, Salonikidis S, Kaloutsi V, Michalopoulos A (2011) Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report. J Med Case Rep 5:559. https://doi.org/10.1186/1752-1947-5-559CrossRefPubMedPubMedCentral

21.

Carpio A (2002) Neurocysticercosis: an update. Lancet Infect Dis 2:751–762. https://doi.org/10.1016/s1473-3099(02)00454-1CrossRefPubMed

22.

Agildere AM, Aytekin C, Coskun M et al (1998) MRI of hydatid disease of the liver: a variety of sequences. J Comput Assist Tomogr 22:718–724CrossRef

23.

Cesmeli E, Vogelaers D, Voet D, Duyck P, Peleman R, Kunnen M, Afschrift M (1997) Ultrasound and CT changes of liver parenchyma in acute schistosomiasis. Br J Radiol 70:758–760. https://doi.org/10.1259/bjr.70.835.9245889CrossRefPubMed

24.

Bica I, Hamer DH, Stadecker MJ (2000) Hepatic schistosomiasis. Infect Dis Clin N Am 14:583 Please provide manufacturers’ names and locations (city/state/country, if not U.S.) at first mention for all products. 604CrossRef

25.

Singh G, Narang V, Malik AK, Khanna SK (1996) Segmental enteritis: “enteritis necroticans”. A clinicopathologic study. J Clin Gastroenterol 22:6–10. https://doi.org/10.1097/00004836-199601000-00003CrossRefPubMed

26.

Tandon RK, Garg PK (2004) Tropical pancreatitis. Dig Dis 22:258–266. https://doi.org/10.1159/000082797CrossRefPubMed

27.

Hijaz NM, Friesen CA (2017) Managing acute abdominal pain in pediatric patients: current perspectives. Pediatr Health Med Ther 8:83–91. https://doi.org/10.2147/PHMT.S120156CrossRef

28.

Gans SL, Pols MA, Stoker J, Boermeester MA, on behalf of the expert steering group (2015) Guideline for the diagnostic pathway in patients with acute abdominal pain. Dig Surg 32:23–31. https://doi.org/10.1159/000371583CrossRefPubMed

29.

Ramos-De La Medina A, Remes-Troche JM, González-Medina MF et al (2011) Abdominal and gastrointestinal symptoms of Dengue fever. Analysis of a cohort of 8559 patients. Gastroenterol Hepatol 34:243–247. https://doi.org/10.1016/j.gastrohep.2011.01.012CrossRefPubMed

30.

Janda JM, Abbott SL (2010) The genus Aeromonas: taxonomy, Pathogenicity, and Infection. Clin Microbiol Rev 23:35–73. https://doi.org/10.1128/CMR.00039-09CrossRefPubMedPubMedCentral

31.

Niyogi SK (2005) Shigellosis. J Microbiol 43:133–143PubMed

32.

Shears P (2001) Recent developments in cholera. Curr Opin Infect Dis 14:553–558. https://doi.org/10.1097/00001432-200110000-00008CrossRefPubMed

33.

Utzinger J, Botero-Kleiven S, Castelli F, Chiodini PL, Edwards H, Köhler N, Gulletta M, Lebbad M, Manser M, Matthys B, N'Goran EK, Tannich E, Vounatsou P, Marti H (2010) Microscopic diagnosis of sodium acetate-acetic acid-formalin-fixed stool samples for helminths and intestinal protozoa: a comparison among European reference laboratories. Clin Microbiol Infect 16:267–273. https://doi.org/10.1111/j.1469-0691.2009.02782.xCrossRefPubMed

34.

Fotedar R, Stark D, Beebe N, Marriott D, Ellis J, Harkness J (2007) PCR detection of Entamoeba histolytica, Entamoeba dispar, and Entamoeba moshkovskii in stool samples from Sydney, Australia. J Clin Microbiol 45:1035–1037. https://doi.org/10.1128/JCM.02144-06CrossRefPubMedPubMedCentral

35.

Tarafder MR, Carabin H, Joseph L, Balolong E Jr, Olveda R, McGarvey ST (2010) Estimating the sensitivity and specificity of Kato-Katz stool examination technique for detection of hookworms, Ascaris lumbricoides and Trichuris trichiura infections in humans in the absence of a “gold standard.”. Int J Parasitol 40:399–404. https://doi.org/10.1016/j.ijpara.2009.09.003CrossRefPubMed

36.

Knopp S, Mgeni AF, Khamis IS, Steinmann P, Stothard JR, Rollinson D, Marti H, Utzinger J (2008) Diagnosis of soil-transmitted helminths in the era of preventive chemotherapy: effect of multiple stool sampling and use of different diagnostic techniques. PLoS Negl Trop Dis 2:e331. https://doi.org/10.1371/journal.pntd.0000331CrossRefPubMedPubMedCentral

37.

Clark B, McKendrick M (2004) A review of viral gastroenteritis. Curr Opin Infect Dis 17:461–469. https://doi.org/10.1097/00001432-200410000-00011CrossRefPubMed

Title: Pain Abdomen in Children in Tropics
Publication date: 01-12-2021
Keywords: Malaria
Peritonitis
Appendicitis
Appendicitis
Helminths
Published in: Indian Journal of Surgery / Issue 6/2021
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-020-02709-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pain Abdomen in Children in Tropics

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2021

The Impact of Preoperative Sarcopenia on Post-esophagectomy Complications: Re-meta-analyzing All Available Data

Long-Term Outcomes of Laparoscopic Repair of Ventral Hernia with Intraperitoneal Polypropylene Mesh

Pen Touch Test for Detecting Exophthalmos

Randomised Controlled Clinical Trial of Scalpel Versus Diathermy for Abdominal Skin Incisions

Laparoscopic Cholecystectomy for Acute Cholecystitis in a 30-Week Pregnant Woman with True Left-Sided Gallbladder

Laparoscopic Management of Xanthogranulomatous Cholecystitis (XGC): a Diagnostic and Therapeutic Challenge to Surgeons in Northern India