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Browsing NepMed Journals by Subject "Abdominal pain"
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Publication Childhood Mesenteric Adenitis -The Spectrum of Findings(Kathmandu University, 2021) Shrestha, AL; Adhikari, GABSTRACT Background Mesenteric adenitis in children (≤ 18 years) can present with varied findings often causing a diagnostic confusion. In children, considering the inadequacies in history and physical examination, an accurate clinic-radiological diagnosis backed up with laboratory data as indicated becomes important to avoid misdiagnosis and futile interventions. Objective To study the profile of children evaluated for acute abdominal pain and diagnosed as mesenteric adenitis. Method A retrospective review of children with abdominal symptoms, diagnosed to have mesenteric adenitis between January 2018 and December 2020. Result A total of 85 patients (63 males, 22 females) were identified presenting at mean age of 6 years (range 4 months-16 years). Primary Mesenteric Adenitis (PA) was found in 62, Secondary Mesenteric Adenitis (SA) in 11 and Complicated Primary Mesenteric Adenitis (CPA) was identified in 12. All with PA responded well to supportive care. Those with SA were treated for the primary cause and the ones with Complicated Primary Mesenteric Adenitis were managed by treating the complication. All had a favorable outcome. Conclusion When managing a child with abdominal pain, mesenteric adenitis should be considered. Once clinically suspected, tailored management approach results in fruitful outcome. KEY WORDS Abdominal pain, Mesenteric adenitis, UltrasoundPublication Hematocolpos: Rare but Commonly Missed Cause of Recurrent Pain Abdomen in Children – A Case Report and Review of Literature(Institute of Medicine, Tribhuvan University, 2025) Bhattarai, Desh Bhakta; Yadav, Bharat; Gautam, Suprima; Regmi, Pradeep RajAbstract: Hematocolpos, a rare condition, occurs when menstrual blood or secretory fluid accumulates in the vagina due to vaginal obstruction. It is often caused by various congenital urogenital anomalies. Early diagnosis is crucial to prevent complications such as tubal adhesion, pelvic endometriosis, and infertility. Hematocolpos can present with recurrent abdominal pain in children, which is occasionally missed in the early period of hospital visits. A proper approach to a hematocolpos includes physical examination and imaging findings. Magnetic Resonance Imaging plays a crucial role in diagnosis and guidance for surgical interventions.Publication IgA Vasculitis Mimicking Obstructed Umbilical Hernia and Presenting as Gastrosurgical Emergency(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2024) Agarwal, Pooja; Shah, Harsh; Shah, Jay; Shah, Malhar; Baxi, KalgiAbstract: IgA vasculitis (previously known as Henoch-schonlein purpura) is a systemic vasculitis which is more common in children than in adults. The classical triad clinically suggests the diagnosis includes purpuric rash, arthritis and abdominal pain. We report a case of a forty-seven-year-old male presented with an acute abdomen to a gastro-surgeon, and on exploratory laparotomy, multiple petechial lesions were found on the entire intestinal walls. Multiple petechiae were present over both the legs and hands as well, which prompted a dermatological consult, and the diagnosis of IgA vasculitis was confirmed with histopathological and immunofluorescence evaluation of the skin lesions.