Publications by authors named "Thomas Boulden"
Background: Gastrostomy tube (GT) dislodgement is a common cause of Pediatric Emergency Department (PED) visits. Postoperative patients and those who require stoma dilation are more likely to have complications during emergent replacement. Although incorrect replacement can cause significant morbidity overall, the occurrence is infrequent.
View Article and Find Full Text PDFOmental infarction: preoperative diagnosis and laparoscopic management in children.
J Laparoendosc Adv Surg Tech A
November 2010
Background: Omental infarction (OI) is an unusual, poorly characterized cause of abdominal pain in children and is often mistaken for appendicitis preoperatively. We present our experience with this disease process over a 5-year period to identify preoperative factors to aid in timely diagnosis and treatment.
Methods: We retrospectively reviewed the medical records of all children that had OI and underwent laparoscopic omentectomy from November 2004 to June 2009.
Article Synopsis
- Abdominal pain frequently leads individuals to visit the emergency department, with many suffering from chronic or recurring issues.* -
- Patients who have a long history of abdominal pain may struggle to be adequately taken seriously by healthcare providers during their visits.* -
- A specific case is highlighted where a patient, previously experiencing episodic abdominal pain, was diagnosed with intermittent ureteropelvic junction obstruction after an effective ultrasound by the emergency physician.*
Objective: In this prospective, observational study, we determined whether serum C-reactive protein (CRP) correlated with necrotizing enterocolitis (NEC) stages II and III. We hypothesized that serial CRP measurement if used as an adjunct to abdominal radiographs would improve the identification of infants with NEC.
Methods: Serum CRP level was measured every 12 hours for 3 measurements and, when abnormal, once daily.