Evaluation of abdominal pain in children

最后审阅: 17 Aug 2025
最后更新: 12 Dec 2024

小结

鉴别诊断

常见

  • Constipation
  • Acute appendicitis
  • Gastroenteritis
  • Urinary tract infection
  • Abdominal trauma (blunt or penetrating)
  • Cholelithiasis/cholecystitis
  • Primary dysmenorrhea
  • Pneumonia
  • Functional abdominal pain
  • Infantile colic
完整详情

不常见

  • Intussusception
  • Meckel diverticulum
  • Mesenteric adenitis
  • Hirschsprung disease
  • Ulcerative colitis
  • Crohn disease
  • Small bowel obstruction
  • Volvulus
  • Large bowel obstruction
  • Necrotizing enterocolitis
  • Peptic ulcer disease
  • Celiac disease
  • Viral hepatitis
  • Biliary dyskinesia
  • Acute pancreatitis
  • Splenic infarction/cysts
  • Nephrolithiasis
  • Sepsis
  • Testicular torsion
  • Ovarian torsion
  • Ruptured ovarian cyst
  • Pelvic inflammatory disease (PID)
  • Pregnancy complications
  • Empyema
完整详情

撰稿人

作者

Charles L. Snyder, MD

Professor of Surgery

University of Missouri

Kansas City Children's Mercy Hospital

Kansas City

MO

利益声明

CLS declares that he has no competing interests.

Jeong Hyun, MD

Assistant Professor of Surgery

Stanford University

Lucile Packard Children's Hospital

Stanford

CA

利益声明

JH has several research grants for translational work with Crohn disease for Stanford University.

鸣谢

Professor Charles L. Snyder and Dr Jeong Hyun would like to gratefully acknowledge Dr KuoJen Tsao, Dr Kathryn Tinsley Anderson, Dr Luke R. Putnam, Dr Shinil K. Shah, Dr Nathan D. Allison, and Dr Peter A. Walker, previous contributors to this topic.

利益声明

KT, KTA, LRP, SKS, NDA, and PAW declare that they have no competing interests.

同行评议者

Kimberley Chien, MD

Associate Professor of Clinical Pediatrics

Weill Cornell Medicine

New York

NY

利益声明

KC declares that she has no competing interests.

Ann O. Scheimann, MD, MBA

Associate Professor of Pediatrics

Johns Hopkins School of Medicine

Baltimore

MD

გაფრთხილება:

AOS declares that she has no competing interests.

Karla Au. Yeung, MD

Assistant Professor

Pediatric Gastroenterology and Nutrition

The Johns Hopkins Hospital

Baltimore

MD

გაფრთხილება:

KAY declares that she has no competing interests.

Raymond G. Buick, MB BCh, BAO, FRCS (Edin), FRCS (Eng)

Consultant Paediatric Surgeon

Department of Paediatric Surgery

Birmingham Children's Hospital

Birmingham

UK

გაფრთხილება:

RGB declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

წყაროები

ჩვენი მტკიცებულებებისა და სარედაქციო ჯგუფები თანამშრომლობენ საერთაშორისო ექსპერტებსა და რეცენზენტებთან, რათა უზრუნველვყოთ თქვენი წვდომა კლინიკურად ყველაზე მნიშვნელოვან ინფორმაციაზე.

ძირითადი სტატიები

Di Lorenzo C, Colletti RB, Lehmann HP, et al; AAP Subcommittee, NASPGHAN Committee on Chronic Abdominal Pain. Chronic abdominal pain in children: a technical report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005 Mar;40(3):249-61.სრული ტექსტი  აბსტრაქტი

Di Lorenzo C, Colletti RB, Lehmann HP, et al; American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain; NASPGHAN Committee on Abdominal Pain. Chronic abdominal pain in children: a clinical report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005 Mar;40(3):245-8.სრული ტექსტი  აბსტრაქტი

Tabbers MM, DiLorenzo C, Berger MY, et al; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition; North American Society for Pediatric Gastroenterology. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014 Feb;58(2):258-74.სრული ტექსტი  აბსტრაქტი

Diercks DB, Adkins EJ, Harrison N, et al. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of emergency department patients with suspected appendicitis. Approved by ACEP Board of Directors February 1, 2023. Ann Emerg Med. 2023 Jun;81(6):e115-52.სრული ტექსტი  აბსტრაქტი

Dahabreh IJ, Adam GP, Halladay CW, et al. Diagnosis of right lower quadrant pain and suspected acute appendicitis. Dec 2015 [internet publication].სრული ტექსტი  აბსტრაქტი

გამოყენებული სტატიები

ამ თემაში მოხსენიებული წყაროების სრული სია ხელმისაწვდომია მომხმარებლებისთვის, რომლებსაც აქვთ წვდომა BMJ Best Practice-ის ყველა ნაწილზე.

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