Aerofagia por disinergia abdómino-frénica en un niño de dos años / Aerophagia due to abdomino-phrenic dyssynergia in a 2-year-old child

Presentamos un niño previamente sano de dos años con importante distensión abdominal al que después de varias intervenciones con escasa respuesta se diagnosticó aerofagia patológica. La aerofagia patológica en pediatría es un trastorno infrecuente, casi exclusivo en niños con enfermedad neurológica de base. Puede ser motivo de múltiples exámenes complementarios y tratamientos agresivos innecesarios. La reciente publicación de un caso asocia la aerofagia con un novedoso concepto, la disinergia abdómino-frénica

We report the case of a previously healthy 2-year-old child who presented with significant abdominal distension. After several interventions that proved ineffective, pathologic aerophagia was eventually diagnosed. In pediatrics, pathologic aerophagia is an uncommon disorder that almost exclusively affects children with an underlying neurological condition. It may lead to multiple diagnostic tests and unnecessary aggressive therapies. A recent case report associated aerophagia with a novel concept of abdomino-phrenic dyssynergia

Aerophagia due to abdomino-phrenic dyssynergia in a 2-year-old child.

We report the case of a previously healthy 2-year-old child who presented with significant abdominal distension. After several interventions that proved ineffective, pathologic aerophagia was eventually diagnosed. In pediatrics, pathologic aerophagia is an uncommon disorder that almost exclusively affects children with an underlying neurological condition. It may lead to multiple diagnostic tests and unnecessary aggressive therapies. A recent case report associated aerophagia with a novel concept of abdomino-phrenic dyssynergia.