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Problems in the Diagnosis of Cyclic Vomiting Syndrome in Children
Laura Mihaela Trandafir1, Maricel Burlacu1, Alexandra Ana Maria Tudose2
13rd Clinic of Pediatrics, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Insights
Cyclic vomiting syndrome (CVS) is a rare pediatric condition causing recurrent vomiting. Early diagnosis and management are crucial for improving the quality of life for affected children.
Area of Science:
- Pediatric Gastroenterology
- Clinical Case Study
Background:
- Cyclic vomiting syndrome (CVS) presents as recurrent vomiting episodes interspersed with symptom-free periods.
- It is an infrequent yet significant condition in pediatric practice.
Purpose of the Study:
- To report a case of cyclic vomiting syndrome in a pediatric patient.
- To highlight the importance of early diagnosis and management of CVS.
Main Methods:
- Clinical case presentation of an 8-year-old child with recurrent vomiting, nausea, and abdominal pain.
- Diagnostic process involved thorough anamnesis, clinical examination, and exclusion of differential diagnoses (infectious, drug-related, surgical).
Main Results:
- The patient's symptoms and diagnostic workup led to the confirmation of cyclic vomiting syndrome.
- Differential diagnoses were systematically ruled out to confirm the CVS diagnosis.
Conclusions:
- Cyclic vomiting syndrome significantly impacts a child's quality of life, causing nutritional issues, social difficulties, and school absenteeism.
- Early detection and supportive therapy are essential for managing CVS and preventing complications.
Abstract:
The cyclic vomiting syndrome (CVS) is an infrequent condition in pediatric practice, in which recurrent vomiting episodes are followed by asymptomatic periods. The authors report the case of an 8-year and 2-month old child who had been hospitalized on several occasions for persistent vomiting accompanied by nausea, and periumbilical and epigastric abdominal pain. The child's anamnesis and clinical examination determined the doctors to suspect aCVS, which was later confirmed due toruling out all of the differential diagnoses: infectious, drug-related or surgical causes. CVS is a severe condition, which causes nutrition disorders, social integration problems, school absenteeism and lower life quality on the whole. This condition requires early detection in order to initiate adequate supportive therapy, to identify the triggering causes and to prevent them.
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