Ali Qamar, Ahmed Sara, Aamer Sameen, Iqbal Nadeem, Mamoon Nadira
Paediatrics, Shifa International Hospital Islamabad, Islamabad, PAK.
Internal Medicine, Shifa International Hospital Islamabad, Islamabad, PAK.
Cureus. 2021 Sep 3;13(9):e17701. doi: 10.7759/cureus.17701. eCollection 2021 Sep.
Recurrent abdominal pain is defined as at least three episodes of abdominal pain, lasting for three months or more and affecting the daily activities of an individual. Giardiasis is one of the causes of recurrent abdominal pain but is often overlooked. We report the case of an 11-year-old girl who presented with complaints of severe abdominal pain and two episodes of fresh blood in stool in one day. She had recurrent episodes of abdominal pain, occasional bloating, and diarrhea over the past two years. Workup for differentials like appendicitis and ovarian torsion was done. She was initially treated for an ovarian cyst with oral contraceptives, but her symptoms showed no improvement. Therefore, a laparoscopic ovarian cystectomy and appendectomy were attempted. Despite surgical intervention, the abdominal pain failed to resolve. A duodenal biopsy was performed, which showed vegetative growths of . This report highlights the unusual presentation of giardiasis as an acute abdomen, making it a diagnostic challenge.
复发性腹痛定义为至少三次腹痛发作，持续三个月或更长时间，并影响个人的日常活动。贾第虫病是复发性腹痛的病因之一，但常被忽视。我们报告一例11岁女孩的病例，她主诉严重腹痛且一天内有两次便血。在过去两年里，她有复发性腹痛、偶尔腹胀和腹泻。针对阑尾炎和卵巢扭转等鉴别诊断进行了检查。她最初接受口服避孕药治疗卵巢囊肿，但症状未见改善。因此，尝试进行腹腔镜卵巢囊肿切除术和阑尾切除术。尽管进行了手术干预，腹痛仍未缓解。进行了十二指肠活检，结果显示有……的营养生长。本报告强调了贾第虫病作为急腹症的不寻常表现，使其成为一个诊断难题。
