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Boy with abdominal distension and hyperamylasaemia
  1. Andrea Trombetta1,
  2. Giorgio Cozzi2,
  3. Federica Pederiva3
  1. 1 Pediatrics, University of Trieste, Trieste, Italy
  2. 2 Pediatric Emergency Department, Institute for Maternal and Child Health—IRCCS Burlo Garofolo, Trieste, Italy
  3. 3 Pediatric Surgery, Burlo Garofalo Pediatric Institute, Trieste, Italy
  1. Correspondence to Dr Andrea Trombetta, University of Trieste, Trieste 34127, Italy; andreamer91{at}

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Clinical introduction

A 14-year-old boy was admitted for the abrupt onset of non-bilious vomiting and inability to tolerate oral intake. He had a Pallister-Killian syndrome with severe cognitive impairment, inability to walk and mild scoliosis. On physical examination, he presented abdominal distension and tenderness, without guarding or palpable masses. He was apyrexial. Blood tests showed hyperamylasaemia (354 IU/L), raised lipase levels (149 U/L), neutrophilia and C reactive protein within range. An X-ray of the abdominal was performed (figure 1). A nasogastric tube was inserted, …

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  • Contributors AT wrote the first draft of the manuscript. GC followed clinically the patient. GC and FP made the revision of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.