Title: Ultrasonographic Evaluation of Acute Abdomen In Children
Authors: Dr Sima Malakar, Dr Dhrubajyoti Borpatra Gohain, Dr R K Gogoi
DOI: http://dx.doi.org/10.18535/jmscr/v3i11.52
Acute abdomen is a medical emergency, in which there is sudden and severe pain in abdomen of recent onset with accompanying signs and symptoms that focus on an abdominal involvement. It can represent a wide spectrum of conditions, ranging from a benign and self-limiting disease to a surgical emergency. The aim of our study is to evaluate the acute abdomen in children of less than 12 years by ultrasonography. During the study of 1 year we had examined 60 cases of acute abdomen coming to the department of Radiodiagnosis. The USG findings were correlated with final diagnosis made by operative method or by doing follow-up of the patient. Among these patients USG could give the proper diagnosis in 71% cases of appendicitis, 66% cases of Cholecystitis, 66% cases of pancreatitis, 50% cases of hollow-viscus perforation & 100% cases of renal calculus. Ultrasonography is a good modality for investigation of children as it is easily available, cost-effective & can be done in bed side & above all it has no radiation hazard Key word: ultrasonography (USG), acute abdomen, 1. Abu Yousef, Monzer M, Bleicher JJ--- High resolution USG in appendicitis, AJR 1987 2. Schulte B, Beyer D, Kaiser C, Horsch S, Wiater A. Ultrasonography in suspected acute appendicitis in childhood: report of 1285 cases. Eur J Ultrasound 1998; 8:177–182. 3. Grossman M, Shiramizu B. Evaluation of lymphadenopathy in children.Curr Opin Pediatr 1994; 6:68–76. 4. Carty HML. Pediatric emergencies: non-traumatic abdominal emergencies. Eur Radiol 2002; 12:2835–2848. 5. Sivit CJ, Newman KD, Chandra RS. Visualization of enlarged mesenteric lymph nodes at US examination. Pediatr Radiol 1993; 23:471–475 6. Someone JF--- comparison of sonography & plain film in evaluation of acute abdomen, AJR, 1985 7. Raghabendra BN, Feiner DH, Subramoniuam BR,--- acute cholecystitis, Radiology, 1985 8. Sarti DA, Goldstein LJ, Weiner M, Sample WF---gray scale sonography in jaundiced patient, Radiology, 1978 9. Doust BD, Pearcee JD, Radiology 1976 10. Chen SC, Hen ZS, Wang HP, Lin FY, Hsu CY, Chen WJ—Ultrasonography is superior to plain radiography in the diagnosis of pneumoperitoneum, BJS, March 2002 11. Erwin BC, Carol BA, Sommer G, Ranal Colic: the role of Ultrasound in initial evaluation, Radiology, 1984Abstract
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