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Karen F. Murray, MD; Stephanie P. Ryan, MD, BCh; Mary C. Hough, MD

Arch Pediatr Adolesc Med. 1995;149(4):460-461.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A3 -YEAR-OLD BOY presented with a 2-day history of abdominal pain, anorexia, and nonproductive vomiting. There was no history of trauma or previous abdominal surgery. He had previously received a diagnosis of fragile X syndrome.

Examination revealed moderate distension of the abdomen, diminished bowel sounds, and minimal epigastric tenderness. No guarding or rebound tenderness was elicited. A nontender mass was palpated in the right lower quadrant of the abdomen.

Laboratory investigation revealed an elevated leukocyte count of 17x10⁹/L, serum amylase level of 426 U/L (normal, <103 U/L), serum lipase level of more than 90 U/L (normal, <90 U/L), and serum glucose level of 9.2 mmol/L (166 mg/dL). Results of liver function tests and levels of serum cholesterol, triglycerides, and calcium were normal. Twenty-four hours later, his leukocyte count increased to 22x10⁹/L, with 0.9 polymorphonuclear cells. The serum glucose level increased to 12.9 mmol/L (232 mg/dL); . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics (Drs Murray and Hough) and Radiology (Dr Ryan), Children's Hospital and Medical Center, Seattle, Wash. Dr Murray is currently with the Department of Gastroenterology and Nutrition, Children's Hospital, Boston, Mass.

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