Abdomen agudo pediátrico

Abstract

A 5-year-old male presented with clinical symptoms of three weeks of evolution, characterized by colicky abdominal pain, predominantly periumbilical and in the right flank, associated with occasional vomiting during the period of evolution. He consulted the health care center, where at the time of physical assessment, a soft abdomen was observed, painful to deep palpation, associated with a palpable mass in the right hemiabdomen, with no clear signs of peritoneal irritation. An abdominal ultrasound was performed, which revealed a rounded image in the hypochondrium and right flank, with the echogenic center, and two peripheral hypoechogenic and hyperechogenic rings (Figures 1 and 2). Subsequently, an abdominal multidetector computed tomography without contrast was indicated, which showed, at the level of the right hemiabdomen, a mass with soft tissue density of target aspect, associated with a small amount of adjacent fluid and ingurgitation of mesenteric vessels (Figures 3 and 4). The patient was evaluated by pediatric surgery, and a surgical procedure by exploratory laparoscopy and intestinal resection were considered.