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Spinal epidural abscess presenting with abdominal pain.
E R Flikweert1, R R Postema, J W Briel
1Department of Pediatric Surgery, Sophia Children's Hospital, University Hospital Rotterdam, The Netherlands.
Summary
A spinal epidural abscess can mimic appendicitis, causing abdominal pain in children. Early diagnosis and treatment are crucial for recovery and preventing neurological damage.
Area of Science:
- Pediatric Surgery
- Neurology
- Infectious Diseases
Background:
- Abdominal pain is a common pediatric complaint, often leading to surgical evaluation for appendicitis.
- Spinal epidural abscesses are rare but serious infections that can present with varied symptoms.
Observation:
- A 7-year-old boy presented with persistent abdominal pain, initially suspected to be appendicitis.
- Despite negative findings during appendectomy, his abdominal pain continued, followed by neurological deficits.
Findings:
- Magnetic Resonance Imaging (MRI) revealed a spinal epidural abscess as the underlying cause.
- Surgical decompression (laminectomy) and antibiotic therapy led to a full recovery.
Implications:
- This case highlights the importance of considering spinal epidural abscess in pediatric patients with abdominal pain and fever.
- Broadening the differential diagnosis can prevent delayed treatment and improve patient outcomes.