Abdominal pain in a 5-year-old boy.
A 5-year-old male presented with a 1-day history of vomiting, epigastric pain, loose stools and poor oral intake. The child had intermittent symptoms of abdominal pain and vomiting for the past 2 years and there was a strong family history of chronic hereditary pancreatitis. A random serum amylase was elevated at 2320 IU/l. Abdominal ultrasound scan revealed no abnormalities. On the basis of the family history, positive symptoms and elevated amylase, a diagnosis of hereditary pancreatitis was made. The child received symptomatic management and treatment for his acute illness. He is currently awaiting results from molecular testing.
James Paget University Hospitals NHS Foundation Trust, Gorleston-on-Sea, Great Yarmouth, Norfolk, UK. rebecca-thompson@hotmail.co.uk
Rebecca
R
Thompson
Vijayalakshmi
V
Kothandaraman
D015746:Abdominal Pain / Q000209:etiology; D002675:Child, Preschool; D006801:Humans; D008297:Male; D050500:Pancreatitis, Chronic / Q000150:complications / Q000175:diagnosis*