- A Case of Left Ureteral Obstruction due to Acute Appendicitis.
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Seok Jeong Kang, Myong Soon Sung, Kwang Hae Choi
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Yeungnam Univ J Med. 2009;26(1):56-62. Published online June 30, 2009
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DOI: https://doi.org/10.12701/yujm.2009.26.1.56
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 Abstract
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- Appendicitis is a common cause of acute abdomen in pediatrics. Periappendiceal abscesses are frequently found in the pediatric population. Acute appendicitis in children can, at times, be a difficult clinical diagnosis because of its highly variable history? and physical manifestations and its unpredictable course. Despite the uncertainty of the diagnosis, appendicitis demands prompt treatment because of the risk of perforation, which occurs in approximately one third of cases. Urological manifestations of appendicitis and appendiceal abscess can vary. Acute appendicitis presenting with ureteral stenosis and hydronephrosis is very rare. Here, we report a case of acute appendicitis with perforation and left hydronephrosis in a 3-year-old female. This case presents a 3-year-old girl with dysuria having hydronephrosis that originated from a perforated appendix.
- Pediatric Crohn's Disease presenting as Severe Constipation and Abdominal Distension.
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Myong Soon Sung, Seok Jeong Kang, Kwang Hae Choi
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Yeungnam Univ J Med. 2008;25(2):139-144. Published online December 31, 2008
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DOI: https://doi.org/10.12701/yujm.2008.25.2.139
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Abstract
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- Crohn's disease is a chronic inflammatory bowel disease that mainly affects children and young adults. Its cause remains unknown. The incidence of pediatric Crohn's disease is increasing, so it is important for clinicians to be aware of the presentation of this disease in the pediatric population. The majority of patients complain of abdominal pain (72%), with only 25% presenting with the 'classical triad' of abdominal pain, weight loss, and diarrhea. Many children with Crohn's disease present in a 'non-classical' manner, with vague complaints such as lethargy or anorexia, which may be associated with only mild abdominal discomfort. Other symptoms include fever, nausea, vomiting, growth retardation, malnutrition, delayed puberty, psychiatric symptoms, arthropathy, and erythema nodosum. Severe constipation and abdominal distension are uncommon symptoms at diagnosis. We report a case of pediatric Crohn's disease, which was diagnosed after the patient presented with severe constipation and abdominal distension.
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Yeungnam University College of Medicine
