Prompt diagnosis of an abdominal mass in a child is often a diagnostic challenge of imaging. Prerequisites to a rational radiological approach are: the knowledge of the patient’s age,
history and clinical findings the proper use of different imaging modalities in the detection,
staging of abdominal masses. A case series collected in our institution (Radiology Unit - Department of Medicine - University Hospital of Padova) is reported.
Abdominal masses in children are often incidentally discovered by a parent,
palpated unexpectedly on routine physical examination or detected on abdominal imaging. The underlying causes of such masses are several and can range from benign to malignant conditions including congenital anomalies,
inflammatory diseases and neoplasms. A methodical approach to an abdominal mass first of all contemplates patient-related information: Age Sex History and clinical findings  AGE:...
Findings and procedure details
The role of imaging in the diagnostic process can be differentiated in these steps: Localization Characterization Staging (if necessary) LOCALIZATION : the correct definition of the anatomical site of origin represents the first step in the abdominal mass evaluation. Abdominal compartmentalization in intra-peritoneal,
retro-peritoneal and pelvic space can help in localizing a mass: In case of intra-peritoneal mass distinguishing hepatic mass from other gastrointestinal origin (Fig.
A correct clinical overview of the pediatric patients and the proper use of different imaging modalitiesguide the diagnostic process through the wide spectrum of abdominal masses,
permitting the appropriate management.
Silvia Karem Janet Flores Quispe ,
Radiology Resident Annachiara Cavaliere ,
Radiology Resident Monica Zuliani ,
Radiologist Tiziana Toffolutti ,
Radiologist Roberto Stramare ,
Radiologist Radiology Uniti - Departement of Medicine - University of Padova Via N.
2 - 35128,
Padova - Italy firstname.lastname@example.org email@example.com
Imaging the Child with an Abdominal Mass.
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