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Related Experiment Videos

Acute appendicitis presenting as secretory diarrhea.

Benjamin I Enav1, Jorge Mogilner, Michael Jaffe

  • 1Departments of Pediatrics, Gastroenterology, and Pediatric Surgery, Bnai Zion Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Journal of Pediatric Surgery
|May 31, 2002
PubMed
Summary

A pediatric patient experienced severe secretory diarrhea and abdominal pain, initially baffling doctors. The cause was ultimately diagnosed as perforated acute appendicitis, highlighting a crucial diagnostic consideration.

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Area of Science:

  • Pediatric Gastroenterology
  • Surgical Pediatrics

Background:

  • Secretory diarrhea and abdominal pain are common pediatric complaints with diverse etiologies.
  • Acute appendicitis is a frequent surgical emergency in children, typically presenting with localized abdominal pain and vomiting.

Observation:

  • A 12-year-old female presented with acute lower abdominal pain, nonbilious vomiting, and severe secretory diarrhea.
  • Initial investigations ruled out common infectious and noninfectious causes of diarrhea.

Findings:

  • The patient was diagnosed with perforated acute appendicitis.
  • The clinical presentation mimicked other gastrointestinal disorders, delaying the appendicitis diagnosis.

Implications:

  • Acute appendicitis should be included in the differential diagnosis for pediatric patients presenting with secretory diarrhea and abdominal pain.

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  • Early recognition of atypical appendicitis presentations is critical for timely surgical intervention and improved patient outcomes.