Evaluation of abdominal pain in children

Last reviewed: 2 Sep 2022
Last updated: 13 Sep 2022

Summary

Differentials

Common

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

Uncommon

  • 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
Full details

Contributors

Authors

Charles L. Snyder, MD

Professor of Surgery

University of Missouri

Kansas City Children's Mercy Hospital

Kansas City

MO

Disclosures

CLS declares that he has no competing interests.

Jeong Hyun, MD

Assistant Professor of Surgery

Stanford University

Lucile Packard Children's Hospital

Stanford

CA

Disclosures

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

Acknowledgements

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.

Disclosures

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

Peer reviewers

Ann O. Scheimann, MD, MBA

Associate Professor of Pediatrics

Johns Hopkins School of Medicine

Baltimore

MD

Disclosures

AOS declares that she has no competing interests.

Karla Au. Yeung, MD

Assistant Professor

Pediatric Gastroenterology and Nutrition

The Johns Hopkins Hospital

Baltimore

MD

Disclosures

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

Disclosures

RGB declares that he has no competing interests.

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