RESUMEN
We report 3 adolescents with cannabis hyperemesis syndrome and recurrent hypophosphatemia complicating their clinical course with potential for significant consequences. They serve as reminders for providers to consider the diagnosis of cannabis hyperemesis syndrome and to monitor serum electrolytes closely in the setting of adolescent hyperemesis.
Asunto(s)
Dióxido de Carbono , Insuflación , Niño , Competencia Clínica , Colonoscopía , Educación de Postgrado en Medicina , HumanosAsunto(s)
Colangiopancreatografia Retrógrada Endoscópica/métodos , Conductos Pancreáticos/cirugía , Pancreatitis Crónica/complicaciones , Niño , Constricción Patológica/etiología , Constricción Patológica/cirugía , Humanos , Masculino , Conductos Pancreáticos/patología , Pancreatitis Crónica/cirugía , Stents , Ultrasonografía IntervencionalRESUMEN
Small intestinal injury is seldom described in the context of child abuse. Signs and symptoms are subtle, often leading to delays in diagnosis. We describe a 3-year-old boy initially admitted with severe blunt abdominal trauma from physical child abuse. He was successfully managed nonoperatively. The child was then hospitalized several times for nonspecific abdominal symptoms until diagnostic laparoscopy discovered a jejunal stricture with a proximal jejuno-jejunal fistula. Symptoms fully resolved after resection. Delayed presentation of small intestinal injury should remain on the differential diagnosis in the evaluation of persistent abdominal symptoms in a child with a prior history of physical abuse, even if imaging studies do not reveal specific abnormalities.
