The purpose of this exhibit is to review US appearance of the most common causes of non traumatic acute abdomen in pediatric patients and to give a practical approach,
showing different clinical cases. Fig. 1
Abdominal pain is a common cause of presentation in the Pediatric Emergency Department. Ultrasound is the first line imaging method to evaluate abdominal pain. The most fraquent causes of presentation in Pediatric Emergency Department are listed below: Cry Vomiting Intestinal occlusion,
diarrhea Abdominal pain,
pelvic pain Fever Palpable mass Trauma Foreign bodies or substances ingestion Articular pain The aetiology of acute abdomen in pediatric population depends on the age....
Imaging findings OR Procedure details
GASTROINTESTINAL TRACT PATHOLOGIES Necrotizing enterocolitis (NEC) Necrotizing enterocolitis is a serious abdominal disorder of premature neonates; it usually affects the terminal ileum and ascending colon.
Clynical symptoms include abdominal distension,
Diagnosis is usually made on the basis of abdominal radiographs showing pneumatosis,
a thick-walled bowel,
free air and portal venous air.
Sonography may be useful when...
In the different age groups of children admitted to the pediatric ED,
acute abdomen recognizes various etiologies.
The most common causes of acute abdominal pain in the newborn babies are hypertrophic pyloric stenosis and intussusception.
In the younger children intussusception,
appendicitis and mesenteric adenitis.
In the older children inflammatory bowel disease and ovarian pathology are also included. Ultrasound is an optimal diagnostic tool in the evaluation of children with acute abdomen...
Il dolore addominale acuto Gestione al Pronto Soccorso Rivista di Emergenza ed urgenza pediatricaAnno 3 - n.
1 - december 2008 -january 2009. Il dolore addominale acuto Gestione al Pronto Soccorso Rivista di Emergenza ed urgenza pediatrica Anno 3 - n.
1 - december 2008 - january 2009. Imaging of the acute abdomen in infants and children.
November 1989. Ultrasonic "double track" sign in hypertrophic pyloric stenosis . Cohen HL et al.
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