Keywords:
Abdomen, Emergency, Paediatric, Ultrasound, Decision analysis, Infection
Authors:
S. Cappabianca1, A. Russo2, F. Iaselli3, A. Reginelli3, A. D'Andrea4, R. Grassi3, A. Rotondo5; 1Santa Maria Capua Vetere (CE)/IT, 2Casoria (NA)/IT, 3Naples/IT, 4San Marco di Teano (CE)/IT, 5Napoli (NA)/IT
DOI:
10.1594/ecr2013/C-1527
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 sonographic appeareances in the axial scans are circular muscle’s thickening and pylorus total diameter > 8 mm.
Through the longitudinal scans we can research length of the pylorus from 14 to 20 mm,
double track’s sign,
failure to empty the gastric lumen to peristalsis and distended stomach upstream.
We found 20 cases of volvulus.
The sonographic findings were,
with ecodoppler,
reversal of the axis arterio-venous,
dilatation of the loop upstream,
hyperechoic thickening of the bowel wall with edema and course spiral of loop.