International Journal of
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Case Report Volume 6 Issue 3
The ultrasound as a significant method in imaging and diagnosing in frequent urgent pediatric incidents, in country region hospitals
Elisavet Glynou, Eirineos Karamanis, Chalasti Maria, Epistimi Angelou, Athanasios Alexandris, Nikolaos Kapeleris
General Hospital of Kymi “Georgios Papanikolaou,’’ Greece
Correspondence: Elisavet Glynou, General Hospital of Kymi "Georgios Papanikolaou," Taxiarchon 9 kymi 34003, Greece
Received: March 05, 2019 | Published: May 27, 2019
Citation: Glynou E, Falireas V, Karamanis E, et al. The ultrasound as a significant method in imaging and diagnosing in frequent urgent pediatric incidents, in country region hospitals. Int J Radiol Radiat Ther. 2019;6(3):81-82. DOI: 10.15406/ijrrt.2019.06.00222
Abstract
The ultrasonography is a significant method in imaging and diagnosing in the most frequent urgent pediatric incidents, in country region hospitals. Our clinical experience of the most frequent in pediatric emergencies of the Emergency Department in our hospital with symptoms of acute abdomen pain. Ultrasound in acute abdomen pain can help in diagnosis of, acute appendicitis, mesenteric lymphadenitis, testicular twisting, twisting epididymis, ovarian twisting, inflammation of the testicles (epididymitis, orchitis), hydronephrosis, inflammation of the urinary tract (pyelonephritis, cystitis, nephritis), hepatosplenomegaly, hypertrophy of pyloric sphincter, bowel intussuseption.
Introduction
Diagnosis of frequent urgent pediatric incidents in children is clinically challenging specially in country region hospitals. Computed tomography for diagnosis, has a radiation exposure early in life, it’s a concern with this technique. Therefore, in this study, we aimed to evaluate the diagnostic reliability of ultrasound in children with acute abdominal pain, to reach a safe diagnosis.
Purpose: The ultrasonography is a significant method in imaging and diagnosing in the most frequent urgent pediatric incidents, in country region hospitals.1−3
Materials and method
Our clinical experience of the most frequent in pediatric emergencies of the Emergency Department in our hospital with symptoms of acute abdomen pain. Fifty children exanimate in our emergency department in the last 2 years with acute abdomen pain. Main age was 10 years old (6 to 14). Thirty-six of them had a pathological ultrasound report (Figures 1–5).
Figure 1Eight (5males, 3females) were with acute appendicitis.
Figure 2Five (2males, 3females) were with hydronephrosis.
Figure 3Eighteen (10males, 8females) were with mesenteric lymphadenitis.
Figure 4One (1male) was with testicular twisting.
Figure 5Two (1male, 1female) were with hepatosplenomegaly.
Twenty four children were with no significant pathological signs in abdomen ultrasound.
Results
Ultrasound in acute abdomen pain can help in diagnosis of, acute appendicitis, mesenteric lymphadenitis, testicular twisting, twisting epididymis, ovarian twisting, inflammation of the testicles (epididymitis, orchitis), hydronephrosis, inflammation of the urinary tract (pyelonephritis, cystitis, nephritis), hepatosplenomegaly, hypertrophy of pyloric sphincter, bowel intussuseption.1,3−8 Ultrasound examination is very important and a low cost examination with no relevant complications (as CT scan, x rays) that can help in urgent diagnosis in pediatric patients specially in small country hospitals.1,6,8,9,10
Discussion
Diagnosis of frequent urgent pediatric incidents in children is clinically challenging. Computed tomography (CT) for diagnosis, has a radiation exposure early in life, it’s a concern with this technique. Abdominal US examination showed sensitivity, specificity, and accuracyin diagnosis of, acute appendicitis, mesenteric lymphadenitis, testicular twisting, twisting epididymis, ovarian twisting, inflammation of the testicles (epididymitis, orchitis), hydronephrosis, inflammation of the urinary tract (pyelonephritis, cystitis, nephritis), hepatosplenomegaly, hypertrophy of pyloric sphincter, bowel intussuseption. Ultrasound examination is very important and a low cost examination with no relevant complications (as CT scan, x rays) that can help in urgent diagnosis in pediatric patients specially in small country hospitals.
Acknowledgements
None.
Conflict of interest
The authors declare that there is no conflicts of interest.
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