Functional Abdominal Pain in a Pediatric Patient After Resolution of Acute Pancreatitis: A Case Report

A&A Practice
Tommy Rappold, M-Irfan Suleman

Abstract

Children with acute pancreatitis may develop chronic abdominal wall pain after resolution of clinical, laboratory, and radiographic signs of disease. We describe a 13-year-old boy who underwent an unrevealing, complex diagnostic evaluation for persistent abdominal pain after resolution of acute pancreatitis. His pain required an extended leave of absence from school and nasogastric tube feeds. After receiving abdominal nerve blocks and trigger point injections, he experienced near-complete resolution of pain with normalization of eating habits and daily function. Pain practitioners should think critically about the signs and symptoms of visceral versus somatic pain and try newer diagnostic interventions that may be therapeutic.

References

Dec 21, 2002·The American Journal of Gastroenterology·David E Langdon
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Dec 19, 2006·Taiwanese Journal of Obstetrics & Gynecology·Long-Ching KuanTsung-Cheng Kuo
May 11, 2007·Journal of Gastroenterology and Hepatology·Andreas NydeggerMark R Oliver
Nov 8, 2007·Paediatric Anaesthesia·Adam V Skinner, Gillian R Lauder
Aug 14, 2010·Journal of Pediatric Gastroenterology and Nutrition·Gati DhrooveMiguel Saps
Feb 22, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Saravanakumar KanakarajanRavi Nagaraja
Feb 22, 2011·Journal of Pediatric Gastroenterology and Nutrition·Harrison X BaiSohail Z Husain
Oct 11, 2013·Scandinavian Journal of Primary Health Care·Leo A A SpeeMarjolein Y Berger
May 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Amit AssaRaanan Shamir
May 21, 2015·PloS One·Judith J KorterinkMerit M Tabbers

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