Young girl with abdominal pain

A 15-year-old girl with fever and abdominal pain.

We present a case of a previously healthy 15-year-old girl with fever, right lower quadrant pain, and hip pain. Her history was notable for a recent laparoscopic appendectomy that was complicated by the development of intraabdominal abscesses. She reported normal bowel movements and good appetite on a regular diet, although she did endorse a recent 5-kg weight loss. Further investigation and ex...

A 16-year-old girl with chronic intermittent abdominal pain.

Editor’s note: Each month, Case Challenge features a discussion of an unusual diagnosis. A description and images are presented, followed by the diagnosis and an explanation of how the diagnosis was determined. Your comments are welcome via email at [email protected]. To submit a case, visit: www.PediatricSuperSite.com/Submit. A 16-Year-Old Girl with Chronic Intermittent Abdominal Pain

A 4-year-old girl with abdominal pain and fever.

A 15-year-old obese girl with abdominal pain.

Macroamylasemia in a 4-year-old girl with abdominal pain

Macroamylasemia is a benign condition characterized by abnormally large-sized serum amylase; it has been reported to occur in 1–2% of the population. In macroamylasemia, a macromolecular complex consisting of amylase linked to immunoglobulins circulates in the plasma and usually causes hyperamylasemia with low or normal amylasuria. Macroamylasemia is extremely rare in children. We report a case...