Purpose
To evaluate the sonographic findings for the recognition of non-traumatic pediatric gastroenterological emergencies.
Methods and Materials
We evaluated 200 ultrasound examinations performed in patients aged from a few days old and 9 years in a period from March 2007 to November 2010,
came to the emergency department of our Hospital for abdominal pain,
vomiting,
fever,
leukocytosis,
diarrhea.
Results
We found 40 cases of intussusception.
The sonographic appearances in the axial scans are concentric ring’s sign,
pseudo kidney’s sign and donut’s sign.
According to the longitudinal scans we can find sandwich’s sign and hairpin hay’s sign.
We found 120 cases of appendicitis.
The ultrasonographic sign in axial scans is target’s sign; in longitudinal scans appearances are represented by structure non compressible tubular,
fluid-filled,
parietal thickness > or = 6mm,
central zone echogenic represented by submucose.
We found 20 cases of hypertrophic pyloric stenosis.
The...
Conclusion
Ultrasound,
through the research for these characteristic signs,
is a valid method for the study and for the immediate diagnosis in the emergency room of these pathologies.
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