Acute abdomen in the child

Acute abdomen in the child . The acute abdomen is made up of a group of syndromes that in turn bring together a diversity of entities that have in common that require urgent treatment for their solution.


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  • 1 Introduction
  • 2 Classification
  • 3 Classification of National Standards of Surgery
  • 4 Clinical-Evolutionary Classification
  • 5 Source


In pediatric age, acute abdominal pain is a frequent reason for consultation in medical emergencies, hence the importance of theoretical knowledge and practical management of a wide range of pathologies that are included in this great syndrome, and others diseases that simulate it, from which it is necessary to know how to differentiate it; if we also take into account that in children due to anatomical characteristics and immunological immaturity, avoidable complications quickly occur, which can endanger the lives of these small patients, easily explains the importance of knowledge of this subject training of future comprehensive general practitioners.


There are multiple classifications of the acute abdomen, but in our opinion we will present the two most important.

Classification of National Standards of Surgery

  • Peritoneal syndrome
  • Occlusive syndrome.
  • Hemorrhagic syndrome
  • Mixed syndrome.

Clinical-Evolutionary Classification

  • Initial period: They produce nonspecific symptoms that cannot be attributed to any pathology such as epigastric pain, nausea, lack of appetite, slight fever, etc.
  • Status period: Specific symptoms and signs of each pathology are produced, which allow their syndromic identification.
  • Final period: It is the period to which most of the pathologies of the acute surgical abdomen end in which a timely diagnosis and treatment is not carried out and is characterized by toxic infection with generalized sepsis.


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