A Very Rare Cause of Abdominal Pain in a Male Adolescent: Cavernous Hemangioma

In our pediatric ED, he had a temperature of 36.5°C, a heart rate of 81 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 132/84 mm Hg. The laboratory data included a hemoglobin level of 18.3 g/dL and a white blood cell count of 15 400/mL, with 89% neutrophils. A...

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Bibliographic Details
Published in:The American journal of emergency medicine 2017-02, Vol.35 (2), p.379.e1-379.e3
Main Authors: Hsiao, Hsiang-Ju, Chang, Yi-Jung, Lai, Jin-Yao, Wang, Chao-Jan, Huang, I-Anne, Wu, Chang-Teng
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - etiology
Abdominal Pain - surgery
Adolescent
Blood
Blood pressure
Emergency
Emergency medical care
Gastric Outlet Obstruction - complications
Gastric Outlet Obstruction - diagnosis
Gastric Outlet Obstruction - pathology
Gastric Outlet Obstruction - surgery
Heart rate
Hemangioma, Cavernous - complications
Hemangioma, Cavernous - diagnosis
Hemangioma, Cavernous - pathology
Hemangioma, Cavernous - surgery
Humans
Laboratories
Male
Pain
Pediatrics
Stomach Volvulus - complications
Stomach Volvulus - diagnosis
Stomach Volvulus - pathology
Stomach Volvulus - surgery
Tomography
Treatment Outcome
Vomiting - etiology
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Summary:In our pediatric ED, he had a temperature of 36.5°C, a heart rate of 81 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 132/84 mm Hg. The laboratory data included a hemoglobin level of 18.3 g/dL and a white blood cell count of 15 400/mL, with 89% neutrophils. An emergency CT scan of the abdomen confirmed a small bowel ileus with a transitional zone at the pelvis (Fig. 2); an adhesion ileus or internal herniation was suspected.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2016.08.030