title: [Abdominal migraine as a cause of chronic recurrent abdominal pain in a 9-years-old girl--case report].
abstract: Abdominal migraine is a rarely recognized functional intestinal disorder, manifesting as recurrent paroxysmal abdominal pain of neurogenic origin. The authors describe the 9-years old girl referred to the hospital because of chronic paroxysmal abdominal pain. She did not improve after medication used commonly in functional abdominal disorders (drotaverine, mebeverine, trimebutine). On the ground of various investigations organic causes of abdominal pain were excluded. Carefully completed anamnesis, as well as precise description of the clinical picture of abdominal pain attacks, has lead to the diagnosis of abdominal migraine. According to advice of neurologist the treatment with amitriptyline was introduced. Thereafter a significant improvement was observed. Abdominal migraine has to be taken in to account when diagnosing chronic abdominal pain in children.
authors.affiliation: I Katedra Pediatrii, Klinika Gastroenterologii, Alergologii i Zaburzeń Rozwoju Wieku Dziecigcego, Zabrzu. jkgastro@mp.pl
authors.forename: Jarosław
authors.initials: J
authors.lastname: Kwiecień
authors.forename: Leszek
authors.initials: L
authors.lastname: Piasecki
authors.forename: Jacek
authors.initials: J
authors.lastname: Kasner
authors.forename: Krystyna
authors.initials: K
authors.lastname: Karczewska
mesh_terms: D015746:Abdominal Pain / Q000188:drug therapy / Q000209:etiology*; D000639:Amitriptyline / Q000627:therapeutic use*; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D002648:Child; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D018712:Analgesics, Non-Narcotic; D000639:Amitriptyline