Title: A Study of Intra Abdominal Masses in Pediatric Age Group (Hepatosplenomegaly Secondary to Portal Hypertension Excluded)
Authors: Dr Virendra S. Athavale, Dr Trupti Tonape, Dr Prachi Bhide Athavale, Dr Gaurav Batra, Dr. Ishant Rege, Dr Pooja Batra
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.46
Aims and Objectives: To study incidence of various intra abdominal masses in pediatric age group, their age and gender incidence, clinical presentation, incidence and types of intraperitoneal and retroperitoneal abdominal masses, incidence of malignancy, urological and non-urological masses, anatomical origin and management in pediatric age group. Methods: A prospective observational study was conducted on 30 patients of 0-12 years age groups who presented with intra abdominal mass at Dr.D.Y. Patil Medical College, Hospital and Research Centre, Pune over a period of 2 years. Cases of hepatosplenomegaly, including those caused by portal hypertension, were excluded from the study. Results and Conclusion: In our study of Intra abdominal masses, excluding hepatosplenomegaly, in pediatric age group maximum age incidence was between 1 month to 1 year, equal gender distribution, majority being benign and non-urological origin. Intussusception was the commonest intra abdominal mass. Wilms tumor and Hydronephrosis were the commonest masses found of urological origin. Operative intervention was the best mode of management in majority of abdominal masses. Keywords: intra abdominal masses, pediatric age group. 2. Hanif G Intra abdominal tumors in children. J Coll Physicians Surg Pak 2004;14(8):478-80 3. Cuschieri A, Steele RJC, Moossa AR. Essential surgical practice: Higher surgical training in general surgery. In: Cuschieri A. Disorders of abdominal wall and peritoneal cavity. 4th ed. London: Arnold Publishers, 2002;165–167 4. WHO (2002) Acute intussusception in infants and children. Incidence, clinical presentation and management: a global perspective. Geneva: World Health Organization. Document WHO/V & B/02.19. 1–98. 5. Ritchey ML, Azizkhan RG, Beckwith JB, Hrabovsky EE, Haase GM. Neonatal Wilms tumor. J Pediatr Surg 1995; 30:856–859 6. Golden CB, Feusner JH. Malignant abdominal masses in children: quick guide to evaluation and diagnosis. Pediatr Clin Nort Am 2002;49(6):1369-1392 7. AC Mbamali, Richard A Nakielny. Investigation of abdominal masses. Surgery-Oxford International Journal 2002;20(10):241-244 8. Armand E. Brodeur, Garrett M. Brodeur. Abdominal masses in Children: Neuroblastoma, Wilms tumor and other considerations. Pediatrics in Review 1991;12(7);31-35Abstract
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