FIGURE 53.1 Acute abdominal pain (males and premenarchal females) UTI, urinary tract infection Considerations Among Children With Abdominal Distention or Prior Abdominal Surgery A child who has had prior abdominal surgery presenting with abdominal pain and vomiting should have abdominal radiographs, including flat and upright views, obtained to evaluate for obstruction Bowel obstruction may result from adhesions in this population Ileus, manifesting clinically with distention and absent bowel sounds, often accompanies surgical conditions, such as volvulus and intussusception, but may also be observed among children with sepsis, infectious