Ultrasonography (US) in the Assessment of Pediatric Non Traumatic Gastrointestinal Emergencies

Overview

Journal Crit Ultrasound J

Specialty Critical Care

Date 2013 Aug 2

PMID 23902696

Citations 2

Authors

Paolo Fonio

Francesco Coppolino

Anna Russo

Alfredo DAndrea

Antonella Giannattasio

Alfonso Reginelli

Roberto Grassi

Eugenio Annibale Genovese

Affiliations

Soon will be listed here.

Abstract

Background: Non traumatic gastrointestinal emergencies in the children and neonatal patient is a dilemma for the radiologist in the emergencies room and they presenting characteristics ultrasound features on the longitudinal and axial axis. The most frequent emergencies are : appendicitis, intussusceptions, hypertrophic pyloric stenosis, volvulus due to intestinal malrotation. The aim of this article is to familiarize the reader with the US features.

Methods: A retrospective analysis of 200 ultrasound examinations performed in neonatal and children patients with fever, abdominal pain, leukocytosis, vomiting and diarrhea were evaluated.

Results: Of 200 exame 50 cases of intussusceptions, 100 cases of appendicitis, 20 cases associated with abscess;10 gangrenous appendicitis with absence a color Doppler , and 10 cases of perforated appendicitis at tomography computer integration and 10 cases of volvulus was found.

Conclusions: Ultrasonography (US) is therefore rapidly becoming an important imaging modality for the evaluation of acute abdominal pain, particularly in pediatric patients, where satisfactory examination is often not achievable for the attending clinicians. US provides excellent anatomic detail on the longitudinally and axial axis .

Citing Articles

Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report.

Shavor C, Pagenhardt J, Sun Y, Kraft C, End B, Minardi J Clin Pract Cases Emerg Med. 2020; 4(4):555-558.

PMID: 33217271 PMC: 7676809. DOI: 10.5811/cpcem.2020.7.48155.

Abdominal ultrasonography of the pediatric gastrointestinal tract.

Gale H, Gee M, Westra S, Nimkin K World J Radiol. 2016; 8(7):656-67.

PMID: 27551336 PMC: 4965350. DOI: 10.4329/wjr.v8.i7.656.

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