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ORIGINAL ARTICLE
Year : 2012  |  Volume : 9  |  Issue : 3  |  Page : 198-201

Diagnostic value of ultrasonography in evaluation and management of acute abdominal conditions in the paediatric age group


1 Department of Radiodiagnosis, Jawaharlal Nehru Medical College, A.M.U., Aligarh, India
2 Department of Pediatric Surgery, Jawaharlal Nehru Medical College, A.M.U., Aligarh, India

Correspondence Address:
Navneet Redhu
H. No. T1 Azim Residency, New Sir Syed Nagar, Aligarh, U.P., 202002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.104719

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Background: The aims of this study have been elaborated below: (1) to enumerate the common causes of acute abdominal emergencies by ultrasonography in paediatric patients; (2) to establish the diagnostic efficacy of ultrasonography in evaluation of acute abdominal conditions in children and to illustrate the associated ultrasonographic findings; (3) and, to discuss the role of ultrasonography in guiding the mode of intervention in these cases. Patients and Methods: This prospective study of ultrasonographic examination in 146 paediatric patients presenting with acute onset abdominal pain at the emergency/paediatric outpatient department section of Jawaharlal Nehru Medical College & Hospital, Aligarh, between June 2006 and December 2007, using 3.75 MHz and 8 MHz transducers of the ADARA (Siemens) machine. Results : Common causes of acute abdominal emergencies in pediatric patients as noted on ultrasonography included nonspecific pain (28%), abdominal abscess (21%), acute appendicitis (7%) and intussusception (7%). Ultrasonography was diagnostic in 45.2% cases and supportive in 12.3% of the cases. As for as the final outcome, ultrasonography prevented surgery in almost 20% cases and laparotomy was avoided in 7% of the patients as ultrasound guided interventions in the form of abscess aspiration were carried out. Conclusion: Ultrasonography evaluation of children with acute abdominal pain, helps in making significant changes in the management plan of the patients, and also reveals various clinically unsuspected diseases.


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