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Functional Abdominal Pain in a Pediatric Patient After Resolution of Acute Pancreatitis: A Case Report

Rappold, Tommy Jr MD*,†; Suleman, M-Irfan MD*,‡

doi: 10.1213/XAA.0000000000000980
Case Reports
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Children with acute pancreatitis may develop chronic abdominal wall pain after resolution of clinical, laboratory, and radiographic signs of disease. We describe a 13-year-old boy who underwent an unrevealing, complex diagnostic evaluation for persistent abdominal pain after resolution of acute pancreatitis. His pain required an extended leave of absence from school and nasogastric tube feeds. After receiving abdominal nerve blocks and trigger point injections, he experienced near-complete resolution of pain with normalization of eating habits and daily function. Pain practitioners should think critically about the signs and symptoms of visceral versus somatic pain and try newer diagnostic interventions that may be therapeutic.

From the Departments of *Anesthesiology and Critical Care Medicine

Pediatrics, The Johns Hopkins Hospital, Baltimore, Maryland

Multidisciplinary Pediatric Pain Clinic, Department of Anesthesiology and Critical Care Medicine, Kennedy Krieger Rehabilitation Institute, Baltimore, Maryland.

Accepted for publication January 8, 2019.

Funding: None

The authors declare no conflicts of interest.

Address correspondence to M-Irfan Suleman, MD, Department of Anesthesiology and Critical Care Medicine, The Charlotte R. Bloomberg Children’s Center, 1800 Orleans St, Suite 6349C, Baltimore, MD 21287. Address e-mail to suleman@jhmi.edu.

Copyright © 2019 International Anesthesia Research Society
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