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Nephrology (Genitourinary)

First episode of nephrotic syndrome with acute abdominal pain

Samridhi Goyal, Rachita Singh Dhull, Bobbity Deepthi, Abhijeet Saha

Clin Exp Pediatr. 2020;63(10):411-414. Published online July 21, 2020

Question: What are the likely causes of pain abdomen in Nephrotic syndrome?
Finding: Severe hypovolemia leading to mesenteric ischemia, spontaneous bacterial peritonitis, gastroenteritis, adverse effect of corticosteroids leading to gastritis, mesenteric ischemia due to thromboembolism, acute appendicitis, intussusception due to severe gut wall oedema and rarely Psoas abscess.
Meaning: Clinical suspicion and careful investigation is warranted to diagnose rare cause of pain abdomen like Psoas abscess.

DOI: https://doi.org/10.3345/cep.2019.01333

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