medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2005, Number 1

<< Back Next >>

Acta Med 2005; 3 (1)

Cyclic vomiting syndrome. A case presentation

Hidalgo-Valadez C, Arellano-Aguilar G, LDomínguez-Carrillo LG, Baca-PrietoJE, Ramírez-Barba EJ

Language: Spanish
References: 19
Page: 41-45
PDF size: 51.52 Kb.


ABSTRACT

Background: Heberden described cyclic vomiting syndrome since 1806; its hallmark clinical feature is severe, recurring to paroxysmal cyclic vomiting pattern and diffuse abdominal pain. It has childhood predilection, especially girls outnumber boys. Some factors like: infections, psychological and/or physical stress, menses and dietary, seem to precipitate episodes. New researches show a migraine linkage. Differential diagnosis is a challenge: hospitalizations are frequent and when abdominal pain is of sufficient severity it mimics an acute abdomen and even requires a laparotomy albeit normal findings. Case presentation: An 18 years old woman member of a dysfunctional family with an Aunt with migraine: Her problem began at 6 years old with paroxysmal, recurrent vomiting disorder 10-15/hour and diffuse abdominal pain during 5 days, requiring hospitalization, the vomiting disappeared suddenly. At 12 years old, with menarche, a new similar episode was presented, she was hospitalized and normal outcomes laboratory and radiographic studies were reported, the vomiting stopped suddenly. At 18 years old, she presented chickenpox with a new episode of vomiting 12-13/hour and diffuse abdominal pain; She was hospitalized with normal G.I. series and endoscopy within normal limits. A laparotomy was performed, reporting a congenital bridle; She continued with vomiting and presenting mild jaundice 12 days after surgery, then she arrived to our institution with negative viral hepatitis test and ultrasound mild biliary conducts distension report. A laparoscopy and hepatic biopsy was performed. We prescribed propranolol and ketorolac after surgery, the symptoms disappeared in 24 hours.


REFERENCES

  1. Heberden W. Commentaries on the history and cause of diseases: the late sequelae of recurrent vomiting in childhood. London: Royal College of Physicians; 1806; 29: 151-159.

  2. Gee S. On fitful or recurrent vomiting. Saint Bartholomew’s. Hospital Rep 1882: 1-6.

  3. Li BUK. Proceedings of the International Scientific Symposium on cyclic vomiting syndrome. J Pediatr Gastroenterol Nutr 1995; 21: S1-S62.

  4. Li BUK, Issenman R, Sarna SK. Proceeding on the 2nd International Symposium on Cyclic Vomiting syndrome. Dig Dis Sci 1999; 44 (Suppl): S1-S120.

  5. Prakash C, Clouse R. Similarities in cyclic vomiting syndrome across groups. Gastroenterology 2001; 118 (4): 684-688.

  6. Cullen KJ, Macdonald WB. The periodic syndrome: Its nature and prevalence. Med J Aust 1963; 5: 167-173.

  7. Abu-Arafeh I, Russell G. Cyclical vomiting syndrome in children. A population based study. Pediatr Gastroenterol Nutr 1995; 21: 454-458.

  8. Pfau BJ, Li BUK, Murray RD, Heitlinger LA, McClung HJ, Hayes JR. Differentiating cyclic from chronic vomiting patterns in children: Quantitative criteria and diagnostic implications. Pediatr 1996; 97: 364-368.

  9. Li BUK, Murray RD, Heilinger LA, Hayes JR, Robbins JL. Heterogeneity of diagnoses in cyclic vomiting. Pediatrics 1998; 102: 583-587.

  10. Korson M. Metabolic etiologies of cyclic or reccurrent vomiting. J Pediatr Gastroenterol Nutr 1995; 21(Suppl 1): S15-S19.

  11. Salata RA, Jarret DB, Verbalis JG. Vasopressin stimulation of adrenocorticotropin hormone in humans. J Clin Invest 1988; 81: 766-774.

  12. Li BUK, Murray RD, Heitlinger LA, Robbins JL. Is cyclic vomiting related migraine? Journal of Pediatrics 1999; 134 (5): 567-572.

  13. Whitney H. Cyclic vomiting. A brief review of this affection as illustrated. Arch Pediatr 1898; 15: 839-845.

  14. Farquhar HG. Abdominal migraine in children. BMJ 1956; 1: 1082-5.

  15. Anderson J, Lockhart J, Sugerman K, Weinberg W. Effective prophylactic therapy for cyclic vomiting children using amitriptyline or cyproheptadine. Pediatrics 1997; 100(6): 977-981.

  16. Abu-Arafeh, Russell G. Prevalence and clinical features of abdominal compared with those of migraine headache. Arch Dis Child 1995; 72: 413-417.

  17. Rashed H, Abell TL, Familioni BO. Autonomic function in cyclic vomiting syndrome and classic migraine. Dig Dis Sci 1999; 44 (8): S74-S78.

  18. To J, Issenman R. Evolution of neurocardiac signals in pediatric patients with cyclic vomiting syndrome through power spectral analysis of heart rate variability. J Pediatr 1999; 135: 363-366.

  19. Li BUK, Misiewicz L. Cyclic vomiting syndrome: a brain-gut disorder. Gastroenterology Clinics 2003; 32(3): 1-18.




2020     |     www.medigraphic.com