A 13.5- Year Old Boy with Abdominal Pain and Weight Loss and Chronic Intussusception

A 50 Year Old Man with Fever and Abdominal Pain

The patient is a 50-year-old man who has been diagnosed with abdominal pain, fever, shivering and constipation with nausea and vomiting with a possible diagnosis of typhoid. Computed tomography (CT) of the abdomen and pelvis was performed by injection of contrast agent for the patient. What is your diagnosis?

[A 15-year old boy with abdominal pain].

A 15-year-old boy came to the emergency department with abdominal pain in the left lower quadrant. The medical history included surgery for malrotation of bowel in two of his brothers. A CT-abdomen showed malrotation of the colon with a left-sided appendicitis and polysplenia. An emergency laparoscopic appendectomy was performed. Recovery was uneventful.

Chronic Recurrent Multifocal Osteomyelitis in a 9-year-old Boy

  Chronic recurrent multifocal osteomyelitis (CRMO) is a rare aseptic, auto-inflammatory bone disorder. CRMO presents with bone pain with or without fever. The diagnosis of CRMO is a diagnosis of exclusion and should be included in the differential diagnosis of chronic inflammatory bone lesions in children. Cultures of the bone are typically sterile, antibiotic therapy does not result in clinic...

A 16-year-old girl with chronic intermittent abdominal pain.

Editor’s note: Each month, Case Challenge features a discussion of an unusual diagnosis. A description and images are presented, followed by the diagnosis and an explanation of how the diagnosis was determined. Your comments are welcome via email at [email protected]. To submit a case, visit: www.PediatricSuperSite.com/Submit. A 16-Year-Old Girl with Chronic Intermittent Abdominal Pain

A 7-year-old boy with abdominal pain, fever, and rash.

A 5-year-old boy with vomiting, abdominal pain, and fatigue.