A Pediatric Patient With Abdominal Pain

A previously healthy 2-year-old girl presented to the pediatrician’s office with chief complaint of abdominal discomfort. 

History. The child’s mother denied any history of fever, cough, nausea, vomiting, diarrhea, constipation, or weight loss. Her physical examination was unremarkable. There was no lymphadenopathy, bruises, or rash, and normal auscultation of heart and lungs could be heard. The patient’s initial abdominal examination was performed by the general/family practitioner at an outpatient clinic. Her abdominal examination did not indicate organomegaly or tenderness. The patient’s neurological and musculoskeletal examination was unremarkable as well. 

Diagnostic Testing. Following her examinations, a radiologist performed antero-posterior (Figure 1) and lateral view (Figure 2) abdominal x-rays.  

Figure 1. Abdominal x-ray antero-posterior view. 

Figure 2. Abdominal x-ray lateral view.