Pustaka Ilmiah Universitas Padjadjaran

Abstrak

Case Report : Recurrent Abdominal Pain Due To Gastroduodenitis And Pancreatitis In A 10 Years Old Girl

Background : Recurrent abdominal pain is characterized by three or more episodes of abdominal pain that occur over at least three months and severe enough to interfere with daily activities. Prevalence of recurrent abdominal pain is 9,5% for boys and 12,3% for girls, predominantly adolescent girls Objective : To evaluate the etiology and diagnostic of recurrent abdominal pain and vomitus in children. Case : M, 10 year old girl had a history of recurrent abdominal pain and severe vomitus since 5 month ago. Patient had been hospitalized for 4 times since January 2015 in disctrict hospital. She had a history of labiopalatoschizis post surgical correction. On Physical examination there was severe malnutrition, dehydration and epigastric pain. On Laboratory finding there was hypokalemia and elevated level of alpha amylase (365U/L) and lypase (6 1 0,1 U/L). IgG and Immunohistochemistry of H.Pylori was non-reactive. Abdominal ultrasonography there was thickening of gastric mucosa. Gastrointestinal endoscopic examination showed hyperemic mucosa and erotion in the anthrum, hiatal hernia Hill II in the fundus, open pyloric and bile reflux. Histopatology of gaster revealed chronic gastritis nonspecific nonatrophy. Maagduodenography showed stenosis duodenum pars I. The patients was treated with proton pump inhibitor (omeprazole), ondansetron, and potassium substitution. The patient also was consulted to pediatric surgeon for fundoplication and pyloroplasty. Prognostic of this patient was dubia. Conclusion : Etiology of recurrent abdominal pain in children is not only due to functional disorder but also organic causes.