Intractable Vomiting in a Female Child with Gastritis Not Responding to Treatment: Atypical Pseudotumor Cerebri
International Journal of Gastroenterology
Volume 4, Issue 1, June 2020, Pages: 27-30
Received: Apr. 17, 2020; Accepted: May 5, 2020; Published: Jun. 4, 2020
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Authors
Hadil Samir Darwish, Department of Pediatric Hepatology, Gastroenterology, and Nutrition, National Liver Institute, Menofiya University, Shebin El-Koom, Menofiya, Egypt
Riham Rabie Issa, Department of Pediatric Hepatology, Gastroenterology, and Nutrition, National Liver Institute, Menofiya University, Shebin El-Koom, Menofiya, Egypt
Hadeer Said Allam, Department of Pediatric Hepatology, Gastroenterology, and Nutrition, National Liver Institute, Menofiya University, Shebin El-Koom, Menofiya, Egypt
Sameh Abd Allah Abd el Naby, Department of Pediatrics, Pediatric Neurology Unit, Faculty of Medicine, Menofiya University, Shebin El-Koom, Menofiya, Egypt
Muhammad Ahmed Magdy Abdelhamid, Department of Diagnostic and Interventional Radiology and Medical Imaging, National Liver Institute, Menofiya University, Shebin El-Koom, Menofiya, Egypt
Ahmad Mohamed Sira, Department of Pediatric Hepatology, Gastroenterology, and Nutrition, National Liver Institute, Menofiya University, Shebin El-Koom, Menofiya, Egypt
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Abstract
Intractable vomiting is a challenging complaint in pediatrics that is caused by many gastrointestinal and extragastrointestinal etiologies. Idiopathic intracranial hypertension (IIH) is one of the serious extragastrointestinal causes that could be overlooked due to non-orientation, atypical presentation, or misleading associated pathology. We present here an eleven-year-old female child with intractable vomiting due to IIH. The presence of concomitant Helicobacter pylori (H pylori) gastritis, which was not the cause of the vomiting, played a distraction factor away from the real cause. Moreover, the initial absence of the characteristic papilledema led to a delay in the IIH diagnosis. Treatment failure of H. pylori gastritis, especially when associated with headache, visual symptoms, and negativity of all other investigations, should direct attention to IIH even with the early absence of its characteristic papilledema.
Keywords
Helicobacter Pylori Gastritis, Idiopathic Intracranial Hypertension, Intractable Vomiting, Papilledema, Pseudotumor Cerebri
To cite this article
Hadil Samir Darwish, Riham Rabie Issa, Hadeer Said Allam, Sameh Abd Allah Abd el Naby, Muhammad Ahmed Magdy Abdelhamid, Ahmad Mohamed Sira, Intractable Vomiting in a Female Child with Gastritis Not Responding to Treatment: Atypical Pseudotumor Cerebri, International Journal of Gastroenterology. Vol. 4, No. 1, 2020, pp. 27-30. doi: 10.11648/j.ijg.20200401.17
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Shields TM, Lightdale JR. Vomiting in Children. Pediatr Rev. 2018 Jul; 39 (7): 342-58.
[2]
Tibussek D, Distelmaier F, Karenfort M, Harmsen S, Klee D, Mayatepek E. Probable pseudotumor cerebri complex in 25 children. Further support of a concept. Eur J Paediatr Neurol. 2017 Mar; 21 (2): 280-5.
[3]
Peng C, Hu Y, Ge ZM, Zou QM, Lyu NH. Diagnosis and treatment of Helicobacter pylori infections in children and elderly populations. Chronic Dis Transl Med. 2019 Dec; 5 (4): 243-51.
[4]
Jones NL, Koletzko S, Goodman K, et al. Joint ESPGHAN/NASPGHAN Guidelines for the Management of Helicobacter pylori in Children and Adolescents (Update 2016). J Pediatr Gastroenterol Nutr. 2017 Jun; 64 (6): 991-1003.
[5]
Yang HR. Recent concepts on cyclic vomiting syndrome in children. J Neurogastroenterol Motil. 2010 Apr; 16 (2): 139-47.
[6]
Ko HM, Morotti RA, Yershov O, Chehade M. Eosinophilic gastritis in children: clinicopathological correlation, disease course, and response to therapy. Am J Gastroenterol. 2014 Aug; 109 (8): 1277-85.
[7]
Ko MW, Liu GT. Pediatric idiopathic intracranial hypertension (pseudotumor cerebri). Horm Res Paediatr. 2010; 74 (6): 381-9.
[8]
Algahtani HA, Baeesa SS, Obeid TH, Abuzinadah AR. Idiopathic intracranial hypertension. Atypical presentation. Saudi Med J. 2007 May; 28 (5): 762-5.
[9]
Degnan AJ, Levy LM. Pseudotumor cerebri: brief review of clinical syndrome and imaging findings. AJNR Am J Neuroradiol. 2011 Dec; 32 (11): 1986-93.
[10]
Gondi KT, Chen KS, Gratton SM. Asymptomatic Versus Symptomatic Idiopathic Intracranial Hypertension in Children. J Child Neurol. 2019 Oct; 34 (12): 751-6.
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