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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:329-336 July 31, 1997 Number 5
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Case 24-1997— A Six-Year-Old Boy with Bouts of Abdominal Pain, Vomiting, and a Left-Sided Abdominal Mass
Neil R. Feins, and Carolyn C. Compton

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Presentation of Case

A six-year-old boy was admitted to the hospital because of recurrent abdominal pain with vomiting and weight loss.

The boy had been well until 3 1/2 months earlier, when he began to experience recurrent periumbilical pain once or twice a week, with vomiting two or three times daily for 1 to 3 days, accompanied by anorexia, reduced energy, and decreased stool frequency. There was no diarrhea, and the vomitus was free of blood and bile. The pain improved after emesis or a bowel movement and worsened after a meal. Three weeks before admission, abdominal and rectal examinations were normal, as . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Neil R. Feins's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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