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Chapter 33 - What Can’t Go Down, Must Come Up

Published online by Cambridge University Press:  17 December 2021

By
Emily Cadman  and
Alison Pienaar
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

A previously fit and well 15-year-old boy (weight 65 kg) presented at 15:30 to the A&E in a district general hospital (DGH), with no paediatric surgical service, with abdominal pain and vomiting. The pain and vomiting started the previous night, and the vomitus had ‘turned green’ that morning. He had no appetite and was struggling to tolerate plain water.

Type
Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 185 - 190
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Beck, R, Halberthal, M, Zonis, Z, et al. Abdominal compartment syndrome in children. Paediatr Crit Care Med 2001;2( 1):51–6.Google Scholar
Carlotti, A, Carvalho, W. Abdominal compartment syndrome: A review. Paediatric Critical Care Medicine 2009;10(1):115–120.CrossRefGoogle ScholarPubMed
Crisp, S, Rainbow, J. Emergencies in Paediatrics and Neonatology OUP, 2013.Google Scholar
Hryhorczuk, A, Lee, E, Eisenberg, R. Bowel obstructions in older children Amer J Roentgentol 2013;201:201–8.Google ScholarPubMed
Jarvis, A, Freedman, S, Helman, A. Paediatric gastroenteritis, constipation and bowel obstruction. Emergency Medicine Cases January 2012. https://emergencymedicinecases.com/episode-19-part-2-pediatric-gastroenteritis-acute-constipation-bowel-obstruction.Google Scholar
Menzies, D, Ellis, H. Intestinal obstruction from adhesions-how big is the problem? Ann R Coll Surg Engl 1990;72(1): 60–3.Google ScholarPubMed
Pearson, E, Rollins, M, Vogler, S et al. Decompressive laparotomy for abdominal compartment syndrome in children: before it is too late. J Paediatr Surg 2010;45:1324–9.CrossRefGoogle ScholarPubMed
Roil, F, del Favero, A. Ondansetron clinical pharmacokinetics. Clin Pharmacokinet 1995 29(2):95–109.CrossRefGoogle Scholar
Shiozaki, H, Sakurai, S, Sudo, K, et al. Pre-operative diagnosis and successful surgery of a strangulated internal hernia through a defect in the falciform ligament: a case report. J Med Case Rep 2012;6:206.CrossRefGoogle ScholarPubMed

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