Acta Medica Iranica 2017. 55(2):131-133.

Abdominal Pain as Extrapulmonary Presentation of Pneumonia in an Adult: A Case Report
Hamid Emadi Koochak, Elnaz Tabibian, Shahram Rahimi Dehgolan


Pneumonia is considered as the main cause of abdominal pain in children whereas it presents mostly by respiratory symptoms in adults. Here we present a 71-year-old Iranian female who complained specifically of abdominal pain on admission to our emergency department. We had found nothing as an etiology in our first evaluations. After several hours chest pain was added to the symptoms and the following chest, X-Ray showed a consolidation in the right lung base. She was treated by pneumonia antibiotic regimen and discharged after seven days in a good clinical condition. In conclusion, pneumonia should be considered as a differential diagnosis of abdominal pain in adults as well as in children.


Pneumonia; Abdominal pain; Extra-pulmonary presentation; Geriatric medicine

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Gauss H. Abdominal pain in pneumonia. Am J Dig Dis 1946;13:73-7.

Tsalkidis A, Gardikis S, Cassimos D, Kambouri K, Tsalkidou E, Deftereos S, et al. Acute abdomen in children due to extra-abdominal causes. Pediatr Int 2008;50:315-8.

File Jr TM. Streptococcus pneumonia and community- acquired pneumonia: a cause for concern. Am J Med


Armeni E, Mylona V, Karlis G, Makrygiannis E.Pneumonia presenting with lower right abdominal pain and migratory Polyarthritis. Res Med Case Rep 2012;5:29-30.


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