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Pneumonia presenting with acute abdominal pain in children

Abdominal pain is a common cause of emergency admission in children. Although often due to appendicitis and other intra‐abdominal causes, extra‐abdominal conditions, especially pneumonia, can simulate an acute abdominal catastrophe. Accurate and prompt diagnosis is essential, not only to avoid general anaesthesia and a negative laparotomy in the presence of pneumonia but also to start antibiotic therapy early so as to prevent the complications of pneumonia.