The unusual cause of recurrent abdominal pain in an 11-year-old boy.
The case of an 11-year-old boy with recurrent abdominal pain is presented. Physiological findings were found normal during a clinical investigation, as well as many laboratory tests, ultrasonography and CT of abdomen. Only a high level of sedimentation rate and the focus of increased activity in the sacral region on scintigraphy using 99mTc-HMPAO (hexamethypropyleneaminooxime) labelled leukocytes were found. The other findings on bone scintigraphy, X-ray and MRI led to a deflection of the correct diagnosis. The real culprit proved to be an ingested foreign body (a piece of a wooden skewer) that the patient failed to reveal.
Chroustová
Daniela
D
Department of Nuclear Medicine, University Hospital Královské Vinohrady and 3rd School of Medicine, Charles University, Prague, Czech Republic. chroust@fnkv.cz
Volf
Vladimír
V
Dzupa
Valér
V
Kryl
Pavel
P
Mandys
Václav
V
D000005:Abdomen / Q000000981:diagnostic imaging*; D015746:Abdominal Pain / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D002648:Child; D003937:Diagnosis, Differential; D005547:Foreign Bodies; D006801:Humans; D007249:Inflammation; D007962:Leukocytes / Q000378:metabolism; D008279:Magnetic Resonance Imaging; D008297:Male; D019690:Technetium Tc 99m Exametazime; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography / Q000379:methods
D019690:Technetium Tc 99m Exametazime