Dilemma between knife and needle for acute abdominal pain in familial Mediterranean fever: Two case reports and literature review

doi:10.5409/wjcp.v15.i2.117377

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Jun 9, 2026 (publication date) through May 16, 2026

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World Journal of Clinical Pediatrics

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2219-2808

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Clin Pediatr. Jun 9, 2026; 15(2): 117377
Published online Jun 9, 2026. doi: 10.5409/wjcp.v15.i2.117377

Table 1 Alvarado score of case 1

Feature	Points	Patient score
Feature	Points	Yes/no	Points
Signs
Tenderness in the right lower quadrant	2	Yes	2
Elevated temperature	1	Yes	1
Rebound tenderness	1	No	0
Symptoms	1
Anorexia	1	Yes	1
Nausea/vomiting	1	Yes	1
Migration of pain	1	No	0
Laboratory values
Leukocytosis (> 10000/mm³)	2	Yes	2
Shift to the left (> 75% neutrophils)	1	No	0
Total points	10		7

Score 1-4: Discharge; score 5-6: Observe; score 7-10: Surgery.

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Citation: Sira AM, Shoeir SA, Sira MM. Dilemma between knife and needle for acute abdominal pain in familial Mediterranean fever: Two case reports and literature review. World J Clin Pediatr 2026; 15(2): 117377
URL: https://www.wjgnet.com/2219-2808/full/v15/i2/117377.htm
DOI: https://dx.doi.org/10.5409/wjcp.v15.i2.117377