Abdominal pain and vomiting without fever
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Abdominal Pain and Vomiting Without Fever: Clinical Insights
Lower Abdominal Pain and Intussusception
Lower abdominal pain accompanied by nausea and vomiting, but without fever, can be indicative of various conditions. One notable case involved a woman in her 40s who experienced persistent lower abdominal pain and vomiting. Despite the absence of fever, imaging studies revealed an ileal intussusception, a condition where part of the intestine folds into another section, causing obstruction and pain 1. This case underscores the importance of considering intussusception in differential diagnoses, even in the absence of fever.
Pediatric Abdominal Pain and Imaging
In pediatric cases, acute abdominal pain without fever can also present diagnostic challenges. An 8-year-old girl with right lower quadrant pain and vomiting underwent extensive imaging, including ultrasound and MRI, which are crucial for accurate diagnosis in such scenarios 2. These imaging techniques help rule out conditions like appendicitis and identify other potential causes of abdominal pain.
Abdominal Pain in Athletes
Athletes can experience acute abdominal pain and vomiting without fever due to intense physical activity. A 19-year-old college football player developed severe epigastric pain and vomiting after a sprint. Despite the absence of fever, his symptoms warranted emergency evaluation to rule out serious conditions like gastrointestinal perforation or ischemia 5. This highlights the need for prompt medical attention in athletes presenting with similar symptoms.
Intestinal Obstruction and Previous Surgeries
A 38-year-old woman with a history of cesarean section presented with colicky abdominal pain, bilious vomiting, and no fever. Her physical examination revealed high-pitched bowel sounds and abdominal distension, suggestive of an intestinal obstruction, likely due to adhesions from her previous surgery 9. This case illustrates how surgical history can contribute to the development of abdominal pain and vomiting without fever.
Diagnostic Imaging in Young Children
In very young children, repeated vomiting and colicky abdominal pain without fever can be indicative of conditions like intussusception. A 2-year-old child presented with these symptoms, and a sonographic examination revealed a longitudinal mass, confirming the diagnosis 6. Early imaging is crucial in such cases to prevent complications.
Conclusion
Abdominal pain and vomiting without fever can be caused by a variety of conditions, ranging from intussusception and intestinal obstruction to physical exertion-related issues. Accurate diagnosis often relies on detailed imaging studies and consideration of the patient's medical and surgical history. Prompt and thorough evaluation is essential to identify the underlying cause and initiate appropriate treatment.
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Most relevant research papers on this topic
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