PEDIATRICS Vol. 105 No. 4 April 2000, pp. 921-922
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To the Editor.
Cystic fibrosis (CF) patients frequently suffer from
recurrent abdominal pain1 because of various mechanisms
such as gut motility disorders and uncontrolled pancreatic
insufficiency, but also surgical events. This makes diagnosis
difficult.2-5 We report on 8 children (5 boys, 3 girls)
with chronic abdominal pain due to appendicular mucocele (AM) detected
by colonic transabdominal ultrasonography (CUS). Abdominal pain
symptoms appeared between ages 3 and 11. All patients have pancreatic
insufficiency controlled with an effective pancreatic enzyme
preparation (6000 ± 2000 U lipase/kg/d); 4 had a neonatal
meconium ileus. Genotype is homozygous
F 508 for 4 children.
Shwachman scores