Rebouissoux L, Ramirez del Villar S, Brun M, Fayon M, Lamireau T. Intra-rachidian disorders: two unusual cases of recurrent abdominal pain in children.
Acta Paediatr 2003;
92:395-7. [PMID:
12725559 DOI:
10.1080/08035250310009365]
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Abstract
UNLABELLED
Recurrent abdominal pain (RAP) is generally thought to be of psychological origin but organic aetiologies are increasingly being identified. The cases of two children with vertebral disorders revealed by recurrent abdominal pain are reported. A 14-y-old girl presented with RAP associated with scoliosis, due to a T8-T9 intra-dural extra-medullary tumour. A 7-y-old girl who suffered from nocturnal RAP located in the right iliac fossa for 1 y had decreased muscular strength, pyramidal signs, and a 10 degree Lassègue sign in the right lower limb, revealing a vascular malformation extending from T12 to L2.
CONCLUSION
Atypical pain and associated neurological signs or scoliosis must raise the possibility of intra-rachidian disorders. Magnetic resonance examination will then precisely state the location and nature of the pathological process, avoiding excessive delay in therapeutic management.
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