The unusual cause of recurrent abdominal pain in an 11-year-old boy

Nucl Med Rev Cent East Eur. 2006;9(1):77-80.

Abstract

The case of an 11-year-old boy with recurrent abdominal pain is presented. Physiological findings were found normal during a clinical investigation, as well as many laboratory tests, ultrasonography and CT of abdomen. Only a high level of sedimentation rate and the focus of increased activity in the sacral region on scintigraphy using 99mTc-HMPAO (hexamethypropyleneaminooxime) labelled leukocytes were found. The other findings on bone scintigraphy, X-ray and MRI led to a deflection of the correct diagnosis. The real culprit proved to be an ingested foreign body (a piece of a wooden skewer) that the patient failed to reveal.

Publication types

  • Case Reports

MeSH terms

  • Abdomen / diagnostic imaging*
  • Abdominal Pain / diagnosis*
  • Abdominal Pain / diagnostic imaging*
  • Child
  • Diagnosis, Differential
  • Foreign Bodies
  • Humans
  • Inflammation
  • Leukocytes / metabolism
  • Magnetic Resonance Imaging
  • Male
  • Technetium Tc 99m Exametazime
  • Tomography, Emission-Computed, Single-Photon / methods
  • Tomography, X-Ray Computed
  • Ultrasonography / methods

Substances

  • Technetium Tc 99m Exametazime