ACUTE ABDOMEN IN CHILDREN

Authors

  • Irsal Munandar Faculty of Medicine, Universitas Baiturrahmah, Indonesia Author
  • Jon Hadi Faculty of Medicine, Universitas Baiturrahmah, Indonesia Author

DOI:

https://doi.org/10.62872/11hj9716

Keywords:

Acute Abdomen, Child, Abdominal Pain, Diagnosis, Surgical Emergency

Abstract

This article aims to provide a comprehensive understanding of the etiology, clinical manifestations, diagnostic process, and management of acute abdomen in children. The article is compiled using a descriptive narrative approach based on literature review from relevant medical journals and reference books. The review covers aspects of abdominal anatomy, pain classification, surgical and non-surgical etiologies, and diagnostic and therapeutic approaches. Acute abdomen in children has a wide variety of etiologies, including inflammation, obstruction, trauma, vascular disorders, and congenital disorders. The main manifestation is abdominal pain that can be divided into visceral, somatic, and referred pain, with various characteristics such as colicky, ischemic, and projected pain. The diagnostic process involves a thorough history taking, a systematic physical examination (inspection, palpation, percussion, auscultation), and supporting examinations such as laboratory, radiology, ultrasound, and CT scan. Management measures include emergency treatment, hemodynamic stabilization, and surgery if necessary. Acute abdomen is not a final diagnosis, but rather a collection of symptoms from various pathological conditions that require rapid evaluation. Therefore, appropriate management and early referral to a surgical specialist are crucial in reducing the risk of complications in pediatric patients. Rapid, accurate, and multidisciplinary management is key to improving the prognosis and survival of pediatric patients with acute abdominal symptoms.

Downloads

Download data is not yet available.

References

1. Care, M., Karunarathna, I., Disanayake, D. D., Kurukulasooriya, P., Wickramarachchi, N., & Rangana, P. (2024). Comprehensive management of acute abdomen: Strategies for rapid diagnosis and multidisciplinary care.

2. Dickson, J. A. S., Jones, A., Telfer, S., & De Dombal, F. T. (1988). Acute abdominal pain in children. Scandinavian Journal of Gastroenterology, 23(Supplement 144), 43–46.

3. Kim, J. S. (2013). Acute abdominal pain in children. Pediatric Gastroenterology, Hepatology & Nutrition, 16(4), 219–224. https://doi.org/10.5223/pghn.2013.16.4.219

4. Maleki Verki, M., & Motamed, H. (2018). Rectus muscle hematoma as a rare differential diagnosis of acute abdomen: A case report. Emergency (Tehran), 6(1), e28.

5. Sayuti, M. A. P. (2019). Akut abdomen. Averrous, 47(4), 124–134.

6. American College of Surgeons. (2018). Advanced trauma life support: Student course manual (10th ed.). Chicago, IL: American College of Surgeons.

7. Behrman, R. E., Kliegman, R. M., & Jenson, H. B. (2004). Nelson textbook of pediatrics (17th ed.). Philadelphia: Saunders.

8. Bickell, N. A., Aufses Jr, A. H., Rojas, M., & Bodian, C. (2006). How time affects the risk of rupture in appendicitis. Journal of the American College of Surgeons, 202(3), 401-406. https://doi.org/10.1016/j.jamcollsurg.2005.11.016

9. Brunicardi, F. C., Andersen, D. K., Billiar, T. R., Dunn, D. L., Hunter, J. G., & Matthews, J. B. (2014). Schwartz’s principles of surgery (10th ed.). New York: McGraw-Hill Education.

10. Care M, Karunarathna I, Disanayake DD, Kurukulasooriya P, Wickramarachchi N, Rangana P. Comprehensive Management of Acute Abdomen : Strategies for Rapid Diagnosis Comprehensive Management of Acute Abdomen : Strategies for Rapid Diagnosis and Multidisciplinary Care. 2024;(May).

11. Dickson JAS, Jones A, Telfer S, De Dombal FT. Acute abdominal pain in children. Scand J Gastroenterol. 1988;23(SUPPL. 144):43–6.

12. DiFiore, J. W., & Ricketts, R. R. (2000). Pediatric abdominal pain. Current Problems in Surgery, 37(3), 153–236.

13. Fitzgerald, J. F., Hernandez, J. A., & Perez, M. (2012). Evaluation of abdominal pain in children. American Family Physician, 85(7), 653–660.

14. Gans, S. L., Pols, M. A., Stoker, J., & Boermeester, M. A. (2015). Guideline for the diagnostic pathway in patients with acute abdominal pain. Digestive Surgery, 32(1), 23–31. https://doi.org/10.1159/000371583

15. Gbangou, A. S., et al. (2019). Acute abdominal pain in children: A 2-year retrospective study at the Pediatric Complex of Bangui. Pan African Medical Journal, 33(1), 1–7

16. Humes, D. J., & Simpson, J. (2006). Acute appendicitis. BMJ, 333(7567), 530–534. https://doi.org/10.1136/bmj.38940.664363.AE

17. Karmazyn, B., Werner, E. A., Rejaie, B., & Applegate, K. E. (2009). Imaging of acute appendicitis in children: EU versus US experience. Pediatric Radiology, 39(5), 497–504.

18. Kharbanda, A. B., et al. (2012). Evaluation of a clinical score for pediatric appendicitis. Annals of Emergency Medicine, 59(6), 395–401.

Kim JS. Acute abdominal pain in children. Pediatr Gastroenterol Hepatol Nutr. 2013;16(4):219–24.

19. Lee, S. L., et al. (2008). Outcomes of children with suspected acute appendicitis presenting to a pediatric versus general hospital: A population-based study. Journal of Pediatric Surgery, 43(4), 679–686.

20. Leung, A. K. C., Sigalet, D. L., & Anson, S. (2007). Acute abdominal pain in children. American Journal of Emergency Medicine, 25(5), 570–573.

21. Maleki Verki M, Motamed H. Rectus Muscle Hematoma as a Rare Differential Diagnosis of Acute Abdomen; a Case Report. Emerg (Tehran, Iran) [Internet]. 2018;6(1):e28.

22. Mittal, M. K., Dayan, P. S., Macias, C. G., Bachur, R. G., Bennett, J., & Stevenson, M. D. (2013). Performance of ultrasound in the diagnosis of appendicitis in children in a multicenter cohort. Academic Emergency Medicine, 20(7), 697–702.

23. Newman, K. D., & Muensterer, O. J. (2012). Appendicitis in children. In G. W. Holcomb & K. W. Ashcraft (Eds.), Ashcraft’s pediatric surgery (5th ed., pp. 555–567). Philadelphia: Elsevier Saunders.

24. Ramarajan, N., Krishnamoorthi, R., Gharahbaghian, L., Pirrotta, E., Barth, R. A., Wang, N. E., & Blaschke, A. J. (2014). Clinical effectiveness of emergency ultrasonography for evaluating abdominal pain in children. Annals of Emergency Medicine, 64(3), 256–264.

25. Rothrock, S. G., & Pagane, J. (2000). Acute abdominal pain in children: Emergency evaluation and management. Emergency Medicine Clinics of North America, 18(1), 123–142.

26. Sartelli, M., et al. (2016). Acute abdominal pain in the emergency department: clinical profiles and outcomes. World Journal of Emergency Surgery, 11(1), 1–11. https://doi.org/10.1186/s13017-016-0078-5

27. Sayuti M AP. Akut Abdomen. Averrous. 2019;47(4):124–34.

28. Stringer, M. D., & Oldham, K. T. (2005). Pediatric gastrointestinal emergencies. In A. W. Flake, C. M. Colombani, & R. B. Johnson (Eds.), Pediatric surgery (6th ed., pp. 643–656). Philadelphia: Elsevier Saunders.

29. World Health Organization. (2016). Emergency triage assessment and treatment (ETAT) guidelines. Geneva: WHO Press.

Downloads

Published

2025-07-30

Issue

Section

Articles

How to Cite

ACUTE ABDOMEN IN CHILDREN. (2025). Journal of Public Health Indonesian, 2(2), 76-85. https://doi.org/10.62872/11hj9716

Similar Articles

1-10 of 12

You may also start an advanced similarity search for this article.