Please tell us about pediatric diseases with abdominal pain that are easily misdiagnosed or missed

For example, abdominal allergic purpura, early without purpura rash or bloody stools, is difficult to diagnose, and can be clearly diagnosed by gastroscopy.

Fulminant myocarditis, especially in older children showing abdominal pain and vomiting as the first symptom, pallor and poor mental status, can be easily misdiagnosed as acute gastroenteritis without checking ECG, cardiac ultrasound, myocardial enzyme profile and troponin.

Last Time there was a nine-year-old girl with abdominal pain, I prescribed an ultrasound of the adnexa, was the ultrasound room doctor despised, in front of the Family with a complaint, but also said that this is what to see what to see, are not developed, there is nothing to see!

Name a few mistakes I’ve made in 20 years, night shift, 17 older girl, deep fast breathing, abdominal pain. Irritable, at that time, check the abdomen soft, negative lungs, no rotten apple smell, thought adolescent rebellion, the next day diagnosed diabetic ketosis.

There is another case of vomiting, abdominal pain big girl, everyone thought diarrhea disease early, said let me rehydration, 2:3:1 are allotted, to hang before a flash of light, test a blood sugar it, 27.2, referred to the diabetic department, well hanging.

There is another case, the clinic 13 big girl, said abdominal pain, check the body black thin girl, rough skin, asked its current menstrual period, thought dysmenorrhea, thought to menstruation also bath ah skin so dirty, referred to the gynecology department, said after measuring a blood glucose high measured can not, diabetes mistaken for dysmenorrhea.

A few lessons after abdominal pain, vomiting we first check the terminal blood sugar

I have searched the internet and added a few pictures.
Previously, I only knew about secondary torsion of ovarian tumors, but it turns out that there can also be primary ovarian tubal torsion, some after adolescent exercise, and also in pediatric patients, as shown above.
In addition, there are reports online of ovarian necrosis of the contents of an extra-abdominal hernia, but I have never seen it.