Sonographic Findings in Children Presenting with Acute Abdominal Pain at Meer Children and Family Clinic, Lahore
Sonographic Findings and Acute Abdominal Pain
DOI:
https://doi.org/10.54393/pjhs.v4i12.435Keywords:
Ultrasound, Acute Abdominal Pain, ChildrenAbstract
Acute abdominal pain is a frequent complaint in children. Acute abdominal pain is severe, sudden, and persistent pain requiring immediate medical attention. Acute abdominal pain can arise in any of the four quadrants of the abdomen. Objective: To evaluate sonographic findings in children presenting with acute abdominal pain. Methods: Descriptive study was conducted at the Department of Radiology, Meer Children and Family Clinic. Data from 255 participants were designated as done suitable sample method. Data were analyzed by SSPS version-26.0. Results: Out of a total number of 255 patients, which presented with acute abdominal pain 56 (41.5%) males and 47 (39.2%) females had a normal scan. The most prevalent disease was splenomegaly which was observed in 10 (3.9%) patients. 8 (3.1%) patients had an inguinal hernia, 8 (3.1%) had lymphadenopathy, 9 (3.5%) had excessive bowel gas, 20 (7.8%) had mesenteric lymphadenopathy, 17 (6.7%) had acute appendicitis and 17 (6.7%) had ascites. Conclusions: Our study concluded that most of the children coming for an abdominal ultrasound with acute abdominal pain had a normal scan. The most common sonographic findings were mesenteric lymphadenitis, splenomegaly, and ascites.
References
Siegel MJ, Carel C, Surratt S. Ultrasonography of acute abdominal pain in children. Jama. 1991 Oct; 266(14): 1987-9. doi: 10.1001/jama.266.14.1987. DOI: https://doi.org/10.1001/jama.266.14.1987
Uinarni H, Tanjung C, Putra AP, Sukmana BI, Wahyudi H, Zuhair A, et al. The Importance of Ultrasound Findings in Children with Acute Abdominal Pain to Prevent Unnecessary Surgery. Systematic Reviews in Pharmacy. 2020; 11(4): 377-83. doi: 10.31838/srp.2020.4.56. DOI: https://doi.org/10.31838/srp.2020.4.56
Loening-Baucke V and Swidsinski A. Constipation as cause of acute abdominal pain in children. The Journal of Pediatrics. 2007 Dec; 151(6): 666-9. doi: 10.1016/j.jpeds.2007.05.006. DOI: https://doi.org/10.1016/j.jpeds.2007.05.006
D'Agostino J. Common abdominal emergencies in children. Emergency Medicine Clinics. 2002 Feb; 20(1): 139-53. doi: 10.1016/S0733-8627(03)00055-5. DOI: https://doi.org/10.1016/S0733-8627(03)00055-5
Grant HW, Parker MC, Wilson MS, Menzies D, Sunderland G, Thompson JN, et al. Adhesions after abdominal surgery in children. Journal of Pediatric Surgery. 2008 Jan; 43(1): 152-7. doi: 10.1016/j.jpedsurg.2007.09.038. DOI: https://doi.org/10.1016/j.jpedsurg.2007.09.038
Kim JS. Acute abdominal pain in children. Pediatric Gastroenterology, Hepatology & Nutrition. 2013 Dec; 16(4): 219-24. doi: 10.5223/pghn.2013.16.4.219. DOI: https://doi.org/10.5223/pghn.2013.16.4.219
Buchert GS. Abdominal pain in children: an emergency practitioner's guide. Emergency medicine clinics of North America. 1989 Aug; 7(3): 497-517. doi: 10.1016/S0733-8627(20)30751-3. DOI: https://doi.org/10.1016/S0733-8627(20)30751-3
Leung AK and Sigalet DL. Acute abdominal pain in children. American family physician. 2003 Jun; 67(11): 2321-6.
Khalid M, Redhu N, Nazir B, Khalid S, Chana RS, Jha A. Diagnostic value of ultrasonography in evaluation and management of acute abdominal conditions in the paediatric age group. African Journal of Paediatric Surgery. 2012 Sep; 9(3): 198. doi: 10.4103/0189-6725.104719. DOI: https://doi.org/10.4103/0189-6725.104719
Lin WC and Lin CH. Re-appraising the role of sonography in pediatric acute abdominal pain. Iranian Journal of Pediatrics. 2013 Apr; 23(2): 177.
Strouse PJ. Imaging and the child with abdominal pain. Singapore Medical Journal. 2003 Jun; 44(6): 312-22.
John SD. Trends in pediatric emergency imaging. Radiologic Clinics of North America. 1999 Sep; 37(5): 995-1034. doi: 10.1016/S0033-8389(05)70141-X. DOI: https://doi.org/10.1016/S0033-8389(05)70141-X
Sanchez TR, Corwin MT, Davoodian A, Stein-Wexler R. Sonography of abdominal pain in children: appendicitis and its common mimics. Journal of Ultrasound in Medicine. 2016 Mar; 35(3): 627-35. doi: 10.7863/ultra.15.04047. DOI: https://doi.org/10.7863/ultra.15.04047
Mishra DS, Magu S, Sharma N, Nain Rattan K, Tewari AD, Rohilla S. Imaging in acute abdomen. The Indian Journal of Pediatrics. 2003 Jan; 70(1): 15-9. 10.1007/BF02722736. DOI: https://doi.org/10.1007/BF02722736
Hayes R. Abdominal pain: general imaging strategies. European Radiology Supplements. 2004 Mar; 14(4): L123-37. doi: 10.1007/s00330-003-2078-2. DOI: https://doi.org/10.1007/s00330-003-2078-2
Clayton KM. Focus on Diagnosis: Pediatric Abdominal Imaging. Pediatrics in Review. 2010 Dec; 31(12): 506-10. doi: 10.1542/pir.31-12-506. DOI: https://doi.org/10.1542/pir.31-12-506
Rubin RA and Mitchell DG. Evaluation of the solid hepatic mass. Medical Clinics of North America. 1996 Sep; 80(5): 907-28. doi: 10.1016/S0025-7125(05)70473-9. DOI: https://doi.org/10.1016/S0025-7125(05)70473-9
Gulati M, Cheng J, Loo JT, Skalski M, Malhi H, Duddalwar V. Pictorial review: Renal ultrasound. Clinical Imaging. 2018 Sep; 51: 133-54. doi: 10.1016/j.clinimag.2018.02.012. DOI: https://doi.org/10.1016/j.clinimag.2018.02.012
Chin‐Ling Yip W, Ho TF, Yip YY, Chan KY. Value of abdominal sonography in the assessment of children with abdominal pain. Journal of Clinical Ultrasound. 1998 Oct; 26(8): 397-400. doi: 10.1002/(SICI)1097-0096(199810)26:8<397::AID-JCU4>3.0.CO;2-D. DOI: https://doi.org/10.1002/(SICI)1097-0096(199810)26:8<397::AID-JCU4>3.0.CO;2-D
Wewer V, Strandberg C, Paerregaard A, Krasilnikoff PA. Abdominal ultrasonography in the diagnostic work-up in children with recurrent abdominal pain. European Journal of Pediatrics. 1997 Sep; 156(10): 787-8. doi: 10.1007/s004310050713. DOI: https://doi.org/10.1007/s004310050713
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