Abdominal Pain
Everything in the library about abdominal pain — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Diagnosis & Workup
1 item
Is It Endometriosis?
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Are we missing endometriosis as a source of abdominal pain in young females? Drs Ceana Nezhat, Todd Ponsky and Rachel Hanke review a systematic process for intraoperative evaluation for endometriosis and its appearance. For more information
video4:58 · Jun 2019
Case-Based Learning
3 items
Colonic Perforation-Complication of Percutaneous Drainage of Appendiceal...
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During the Pediatric Surgery Tricks of the Trade and Difficult Cases: Innovative Solutions to Common Problems Course in 2013,Dr. Luis Mauricio Figueroa discusses colonic perforation as a complication of percutaneous drainage of appendiceal
video3:57 · Sep 2018
Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of...
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Dr. Luis Mauricio Figueroa discusses colonic perforation as a complication of percutaneous drainage of appendiceal abscess.
video4:06 · Nov 2018
Laparoscopic Excision of an Abdominal Lymphatic Malformation
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video4:56 · Feb 2020
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Colonic Perforation-Complication of Percutaneous Drainage of Appendiceal...
The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis
clinical0:00 ↗
CT showed a large collection at right iliac fossa
clinical0:30 ↗
Percutaneous drainage was performed by interventional radiology with catheter placement
clinical0:50 ↗
The patient exhibited bleeding through the catheter the next day
clinical1:05 ↗
Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was in the cecum
clinical1:15 ↗
The catheter was removed and the patient was managed with active observation and antibiotic treatment for 10 days
clinical1:35 ↗
Ultrasound one week later showed the abscess had resolved
clinical1:50 ↗
At 8 weeks follow-up, the patient was well and ultrasound was normal
clinical1:58 ↗
Interval appendectomy was not performed because the patient did not have appendicitis
clinical2:05 ↗
A GlobalCast audience poll showed almost 60% would perform percutaneous drainage for a well-formed abscess
host_summary2:14 ↗
Faculty consensus was that the majority would place a percutaneous drain in this patient with a well-formed abscess
host_summary2:55 ↗
Small bowel injuries from percutaneous drains have been observed
host_summary3:30 ↗
Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern
host_summary3:40 ↗
When catheter perforation into bowel is recognized, backing the catheter out works fine
host_summary3:50 ↗
Tricks - Colonic Perforation, Complication Of Percutaneous Drainage Of...
The patient was an 8-year-old girl with 10 days of abdominal pain treated with antibiotics and analgesics without clear diagnosis
clinicalFigueroa0:00 ↗
On arrival to emergency room, the patient had an abdominal mass and CT showed a large collection at right iliac fossa
clinicalFigueroa0:30 ↗
Percutaneous drainage was performed by interventional radiology with catheter placement
clinicalFigueroa0:50 ↗
The next day after drainage, the patient exhibited bleeding through the catheter
clinicalFigueroa1:00 ↗
Follow-up CT and abdominal X-ray with contrast through the catheter revealed the catheter was positioned in the cecum
clinicalFigueroa1:10 ↗
After catheter removal, the team continued active observation and antibiotic treatment for 10 days
clinicalFigueroa1:25 ↗
One week later, ultrasound showed the abscess had resolved
clinicalFigueroa1:40 ↗
At 8 weeks follow-up, the patient was well and ultrasound was normal
clinicalFigueroa1:48 ↗
Because the patient did not have appendicitis, interval appendectomy was not considered
clinicalFigueroa1:58 ↗
A GlobalCast audience poll from a few months prior showed almost 60% would perform percutaneous drainage for a well-formed abscess instead of operating
host_summary2:18 ↗
The majority of faculty present would have placed a percutaneous drain in this patient with a well-formed abscess
host_summary2:55 ↗
Small bowel injuries from percutaneous drains have been observed by faculty
host_summary3:30 ↗
Colonic injury from percutaneous drain may not be recognized because there is no obstructive pattern
clinical3:40 ↗
When a drain is found to be in the colon, backing the catheter out is an acceptable management approach
host_summary3:52 ↗
Faculty typically just remove the catheter when it is found to be in the colon
host_summary4:00 ↗
Is It Endometriosis?
Endometriosis is a common cause of abdominal pain in young adults.
clinical0:01 ↗
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