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

Daniela Chroustová; Vladimír Volf; Valér Džupa; Pavel Kryl; Václav Mandys

Vol 9, No 1 (2006)

Submitted: 2012-01-23

Published online: 2006-01-25

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

Daniela Chroustová, Vladimír Volf, Valér Džupa, Pavel Kryl, Václav Mandys

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

Vol 9, No 1 (2006)

Submitted: 2012-01-23

Published online: 2006-01-25

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.