Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Breast Surgery
  •  Vascular Surgery
  •  Pediatric Surgery
  •  Minimally Invasive Surgery
  •  Transplant Surgery
  •  Cardiovascular Surgery
  •  Ophthalmic Surgery
  •  Urology


Citation: Clin Surg. 2020;5(1):2751.Case Report | Open Access

A Rare Case of Sudden and Severe Abdominal Pain in Children

Yu-Hsien Lee1, Lung-Huang Lin1,2* and Ynug-Chuan Chen1,2*

1Department of Pediatrics, Cathay General Hospital, Taiwan
2Department of Pediatrics, School of Medicine, Fu Jen Catholic University, Taiwan

*Correspondance to: Lung-Huang Lin 

 PDF  Full Text DOI: 10.25107/2474-1647.2751


bile duct anomaly, usually appear from the first year of life. The classic triad comprises intermittent abdominal pain, jaundice, and a right upper quadrant abdominal mass. However, this trial can be found only in a few patients. Herein, we describe the case of a young girl who experienced severe right upper quadrant abdominal pain that was diagnosed as choledochal-cyst-related biliary colic, for which she underwent surgery. Case Report: A 10-year-old girl presented to Cathay General Hospital with sudden and severe epigastric pain lasting for 2 days. Additionally, her complaints included nausea and nonbilious vomiting. Laboratory data revealed total and direct bilirubin levels to be 1.1 and 0.6 mg/dL, respectively. The patient’s condition had previously been diagnosed as gastrospasm by local doctors; however, the symptoms were persistent and even progressive. A diagnosis for type 1C choledochal cyst with biliary colic associated with distal common bile duct stone was made through abdominal computed tomography, sonography and magnetic resonance cholangiopancreatography. The patient was surgically treated through cholecystectomy, choledochal cyst excision, and Roux-en-Y hepaticojejunostomy. The patient recovered well without recurrence. Conclusion: Differential diagnoses must be considered in cases involving persistent gastrospasm. Although most choledochal cysts are diagnosed at infancy, they can be diagnosed in older children as well and usually present as abdominal pain due to accompanying pancreatitis. However, choledochal cysts with abdominal pain due to biliary colic can also be one of the possible differential diagnoses for acute abdominal pain in children or adolescents.


Choledochal cyst; Biliary colic; Abdominal pain; CBD stone

Cite the article

Lee Y-H, Lin L-H, Chen Y-C. A Rare Case of Sudden and Severe Abdominal Pain in Children. Clin Surg. 2020; 5: 2751..

Search Our Journal

Journal Indexed In

Articles in PubMed

Voice Outcomes in Laryngotracheal Stenosis: Impact of the Montgomery T-tube
 PubMed  PMC  PDF  Full Text
Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Effect of Home Blood Pressure Telemonitoring Plus Additional Support on Blood Pressure Control: A Randomized Clinical Trial
 Abstract  PDF  Full Text
Changes in the Expression of Notch and HIF-1? Signaling Molecules in Prostate Cancer Progression
 Abstract  PDF  Full Text
View More...