Surgical aspects of acute abdominal pain syndrome in children

Authors

  • Viktor Konoplitskyi National Pirogov Memorial Medical University, Vinnytsia
  • Vasyl Pohorilyi National Pirogov Memorial Medical University, Vinnytsia
  • Yevhenii Chornyi National Pirogov Memorial Medical University, Vinnytsia

DOI:

https://doi.org/10.31636/pmjua.v7i2.3

Keywords:

abdominal pain syndrome, pain, acute surgical pathology, acute appendicitis, acute intestinal obstruction, intestinal intussusception, children

Abstract

Acute abdominal pain, which is the leading symptom in the clinic of most diseases of the digestive tract, can be a manifes-tation of acute surgical pathology, trauma or an acute infectious disease. All these pathological conditions, in addition to varying degrees of expressiveness of the painful abdominal syndrome, are accompanied by the formation and development of a true or false “acute abdomen”, which is usually accompanied by symptoms of peritoneal irritation. The article discusses the mechanism of for-mation and spread of abdominal pain syndrome, etiopathogenesis of pain syndrome formation in acute surgical pathology in chil-dren. The most characteristic causes of acute abdominal syndrome in children depending on age are presented. A correctly performed differential diagnosis of acute abdominal pain ensures adequate treatment, including emergency surgical intervention on the or-gans of the abdominal cavity.

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References

Carding S, Verbeke K, Vipond DT, Corfe BM, Owen LJ. Dysbiosis of the gut microbiota in disease. Microbial Ecology in Health & Disease. 2015;26. Available from: https://doi.org/10.3402/mehd.v26.26191

Dihtiar VA, Savenko MV. Intussusception in children. history and current state of Problems (literature review). Paediatric Surgery Ukraine. 2019;1(62):75–81. Available from: https://doi.org/10.15574/ps.2019.62.75

Dovzhenko AN. Peyev BI. Bilchenko VI. Rebrov YuS. Correction of barrier and motor-evacuatory function of the small intestine in patients with acute intestinal obstruction in the post-operative period [Korrektsiya baryernoy i motorno – evakuatornoї funktsiy tonkoy kishki u bolnikh ostroy kishechnoy neprokhodimostyu v posleoperatsionnom periode]. Ukrainskyi zhurnal khirurhii. 2011;(3):74–7. [In Russian]

Grigoryev PYa. Yakovenko EP. Abdominal pain: etiology. pathogenesis. diagnostics medical tactics [Abdominalnyye boli: etiologiya. patogenez. diagnostika. vrachebnaya taktika]. Praktikuyushchiy vrach. 2002;(1):39-41. [In Russian]

Tkachev AV. Tarasova GN. Mazovka KE. Clinical gastroenterology [Klinicheskaya gastroenterologiya]. Rostov na donu: GBOU VPO RostGMU Minzdrava Rossii; 2015. 92 p. [In Russian]

Huberhryts NB, Beliaeva NV, Fomenko PH. Abdominal pain: how to save the sufferer? [Abdominalnaya bol: kak spasti ot stradaniy?]. Suchasna hastroenterolohiia. 2015;(3):73–82. [In Russian]

Isakov YuF, Stepanov EA, Dronov AF. Acute appendicitis in childhood [Ostryy appenditsit v detskom vozraste]. Moskva. Meditsina; 1980. 199 p. [In Russian]

Kanazawa M, Inokoshi M, Minakuchi S, Ohbayashi N. Trial of a CAD/CAM system for fabricating complete dentures. Dental Materials Journal. 201;30(1):93–6. Available from: https://doi.org/10.4012/dmj.2010–112

Kelley-Quon LI, Arthur LG, Williams RF, Goldin AB, St. Peter SD, Beres AL, et al. Management of intussusception in children: A systematic review. Journal of Pediatric Surgery. 2021;56(3):587–96. Available from: https://doi.org/10.1016/j.jpedsurg.2020.09.055

Khutorianskyi MO. Modern views on the pathogenesis of acute intestinal obstruction and the mechanisms of complications [Suchasni pohliady na patohenez hostroi neprokhidnosti kyshechnyka ta mekhanizmy vynyknennia uskladnen]. [In Ukrainian] Klinichna khirurhiia. 2009;(5):54–57. Lihonenko OV, Dihtiar II, Lihonenko OO. Early biological enteral therapy in the complex treatment of patients with acute intestinal obstruction [Rannia biolohichna enteralna terapiia u kompleksnomu likuvanni khvorykh na hostru kyshkovu neprokhidnist]. Shpytalna khirurhiia. 2011;(3):26–29. [In Ukrainian]

Kondratenko PH, Rusina VI. Surgery [Khirurhiya]. Tom1. Vinnytsia: Nova knyha; 2019. 704 p. [In Ukrainian]

Konoplitskyi VS, Pohorilyi VV, Yakymenko OH, Fomin OO. Appendicitis in children: age characteristics of clinical manifestations and eponymous symptoms [Apendytsyt u ditei: vikovi osoblyvosti klinichnykh poiaviv ta eponimichna symptomatyka]. Vinnytsia: TOV «TVORY»; 2020. 112 p. [In Ukrainian]

Lacy BE, Mearin F, Chang L, Chey WD, Lembo AJ, Simren M, et al. Bowel disorders. Gastroenterology. 2016;150(6):1393–1407. Available from: https://doi.org/10.1053/j.gastro.2016.02.031

Malin S, Molliver D, Christianson JA, Schwartz ES, Cornuet P, Albers KM, et al. TRPV1 and TRPA1 function and modulation are target tissue dependent. Journal of Neuroscience. 2011;31(29):10516–28. Available from: https://doi.org/10.1523/jneurosci.2992–10.2011

Nikolaieva NH. Pediatric surgery: selected lectures [Pediatrychna khirurhiia: vybrani lektsii]. Odesa: Odeskyi derzhavnyi medychnyi universytet; 1999. 188 p. [In Ukrainian]

Omelchenko LI, Mukvich EN, Vdovina NM, Godik OS, et al. Median arcuate ligament syndrom (MALS-syndrom): clinical presentation and the challenges of diagnosis in a teenager. Ukrainian Journal of Perinatology and Pediatrics. 2020;2(82):107–13. Available from: https://doi.org/10.15574/PP.2020.82.107

Padar M, Reintam Blaser A, Talving P, Lipping E, Starkopf J. Abdominal compartment syndrome: Improving outcomes with a multidisciplinary approach – a narrative review. Journal of Multidisciplinary Healthcare. 2019;12:1061–74. Available from: https://doi.org/10.2147/jmdh.s205608

Podonenko-Bogdanova AP. Errors in the diagnosis of "acute abdomen" [Oshibki pri diagnostike «ostrogo zhivota»]. Kyiv: Zdorovia; 1981. 112 p. [In Russian]

Podoprigora GI, Kafarskaya LI, Baynov NA, Shkoporov AN. Bacterial translocation from intestine: Microbiological, immunological and pathophysiological aspects. Annals of the Russian academy of medical sciences. 2015;70(6):640–50. Available from: https://doi.org/10.15690/vramn564

Rusanov AA. Appendicitis [Appenditsit]. Moskva. Meditsina; 1979. 176 p. [In Russian]

Sapehin VI, Sapehin ID. Determination of the level of intra-abdominal pressure that is safe for the intestines from the point of view of preserving the regulation of local blood circulation [Vyznachennia bezpechnoho dlia kyshechnyku rivnia vnutrishnocherevnoho tysku z pozytsii zberezhennia rehuliatsii lokalnoho krovoobihu]. Klinichna khirurhiia. 2014;(3):56–59. [In Ukrainian]

Shah A, Talley NJ, Jones M, Kendall BJ, Koloski N, Walker MM, et al. Small intestinal bacterial overgrowth in irritable bowel syndrome: A systematic review and meta-analysis of case-control studies. American Journal of Gastroenterology. 2020;115(2):190–201. Available from: https://doi.org/10.14309/ajg.0000000000000504

Shutova ОV. Abdominal pain syndrome in children and adolescents: treatment options [Abdominal'nyy bolevoy sindrom u detey i podrostkov: vozmozhnosti terapii]. Zdorov’e rebenka. 2018;13(5):495–501. Available from: https://doi.org/10.22141/2224-0551.13.5.2018.141567 [In Russian]

Simrén M, Barbara G, Flint HJ, Spiegel BM, Spiller RC, Vanner S, et al. Intestinal microbiota in functional bowel disorders: A rome foundation report. Gut. 2012;62(1):159–76. Available from: https://doi.org/10.1136/gutjnl-2012-302167

Srinath A, Young E, Szigethy E. Pain management in patients with inflammatory bowel disease. Inflammatory Bowel Diseases. 2014;20(12):2433–49. Available from: https://doi.org/10.1097/mib.0000000000000170

Srinath AI, Walter C, Newara MC, Szigethy EM. Pain management in patients with inflammatory bowel disease: Insights for the clinician. Therapeutic Advances in Gastroenterology. 2012;5(5):339–57. Available from: https://doi.org/10.1177/1756283x12446158

Tanaka Y, Kanazawa M, Fukudo S, Drossman DA. Biopsychosocial model of irritable bowel syndrome. Journal of Neurogastroenterology and Motility. 2011;17(2):131–9. Available from: https://doi.org/10.5056/jnm.2011.17.2.131

Tejani C, Phatak T, Sivitz A. Right lower-quadrant pain—more than one diagnosis. Pediatric Emergency Care. 2012;28(11):1224–6. Available from: https://doi.org/10.1097/pec.0b013e31827205ea

Unhurian AM, Bodnar BM. Modern views on the etiological and pathogenetic factors of the development of sebaceous intestinal obstruction in children [Suchasni pohliady na etiolohichni ta patohenetychni chynnyky rozvytku zlukovoi kyshkovoi neprokhidnosti u ditei]. Khirurhiia dytiachoho viku. 2011;3(32):34–36. [In Ukrainian]

van Hoboken EA, Thijssen AY, Verhaaren R, van der Veek PPJ, Prins FA, Verspaget HW, et al. Symptoms in patients with ulcerative colitis in remission are associated with visceral hypersensitivity and mast cell activity. Scandinavian Journal of Gastroenterology. 2011;46(7-8):981–7. Available from: https://doi.org/10.3109/00365521.2011.579156

Yakovenko EP, Yakovenko AV, Anafonova NA. Abdominal pain syndrome: optimal approach to the choice of medical preparation. Sucasna gastroenterologia. 2009;(45):99–107.

Zhou QQ, Verne GN. New insights into visceral hypersensitivity—clinical implications in IBS. Nature Reviews Gastroenterology & Hepatology. 2011;8(6):349–55. Available from: https://doi.org/10.1038/nrgastro.2011.83

Osborn CP, Schmidt AH. Management of acute compartment syndrome. Journal of the American Academy of Orthopaedic Surgeons. 2020;28(3): e108-e114. Available from: https://doi.org/10.5435/JAAOS-D-19-00270

Montalvo-Jave EE, Espejel-Deloiza M, Chernitzky-Camaño J, Peña-Pérez CA, Rivero-Sigarroa E, Ortega-León LH. Síndrome compartimental abdominal: Conceptos Actuales y Manejo. Revista de Gastroenterología de México. 2020;85(4):443–51. Available from: https://doi.org/10.1016/j.rgmx.2020.03.003

Sáez Sáez A, De la Fuente Fernández E, Saenz Casco LV, Ramos Meca MA. Síndrome compartimental abdominal. Revista Colombiana de Gastroenterología. 2020;35(3):345–50. Available from: https://doi.org/10.22516/25007440.491

De Laet IE, Malbrain ML, De Waele JJ. A clinician’s guide to management of intra-abdominal hypertension and abdominal compartment syndrome in critically ill patients. Critical Care. 2020;24(1). Available from: https://doi.org/10.1186/s13054-020–2782–1.

Muturi A, Ojuka D, Ndaguatha P, Kibet A. Abdominal compartment syndrome in surgical patients. Annals of African Surgery. 2018;14(1):48–52. Available from: https://doi.org/10.4314/aas.v14i1.10

Rajasurya V, Surani S. Abdominal compartment syndrome: Often overlooked conditions in Medical Intensive Care Units. World Journal of Gastroenterology. 2020;26(3):266–78. Available from: https://doi.org/10.3748/wjg.v26.i3.266

Konoplitskyi VS, Korobko Y, Motyhin VV. Integral estimation of endogenous intoxication of organism in prognostication of the flow acute appendicitis in children [Intehralna otsinka endohennoi intoksykatsii orhanizmu v prohnozuvanni form perebihu hostroho apendytsytu u ditei]. Art of Medicine. 2020;3(15):92–7. Available from: https://doi.org/10.21802/artm.2020.3.15.92. [In Ukrainian]

Хірургічні аспекти гострого абдомінального больового синдрому у дітей

Published

2022-09-05

How to Cite

1.
Konoplitskyi V, Pohorilyi V, Chornyi Y. Surgical aspects of acute abdominal pain syndrome in children. PMJUA [Internet]. 2022 Sep. 5 [cited 2023 Mar. 27];7(2):24-37. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/318

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