Role of Ultrasound in Diagnosis of Acute Abdomen in Pediatric Group
Role of Ultrasound in Diagnosis of Acute Abdomen in Pediatric Group
Acute abdomen can be defined as "A syndrome induced by wide variety of pathological
 conditions that require emergent medical or more often surgical management" [1].There are a
 plethora of causes that can lead to acute abdomen in children, they vary depending on the
 ages of the children and can be divided into diseases that can be treated with medical care
 and those in which emergency surgical intervention must be considered [2]. Ultrasonography is
 the initial choice in the diagnosis of the different causes of acute abdomen in children [3,
 4]. It is very useful as it is non-invasive, cost- effective, repetitive, with no radiation
 exposure, as good as laparoscopy, can be done even in patients with scarred abdomen [5].
-Patient preparation:

 -  No specific preparation is needed.

 -  Demographic data including age, sex, detailed history, clinical presentation, laboratory
 tests, and data of any other investigations or operation will be obtained.

 -  Clinical examination will be done in emergency pediatric unit for provisional diagnosis.

 -Study instruments:• Patients will examined by Grey-Scale Ultrasonography (U/S) combined
 with Color Doppler Ultrasonography (CDUS).

 3-Technique of examination

 -  will be in supine position.

 -  Patient First examination of whole abdomen will be done by Grey -Scale U/S using both
 3.5 MHZ and 7.5 MHZ transducers .It will be done in both longitudinal ( parallel to long
 axis of the patient ) and transverse ( perpendicular to long axis of the patient )
 orientation .

 -  Then finally examination by Color Doppler US will be done for assessment of organ
 perfusion and diagnosing inflammation.
Inclusion Criteria:

 -  -In this study, 100 patients referred from the emergency Pediatric Unit for the
 assessment of the cause of acute abdomen.

 Exclusion Criteria:

 -  - Patients of age group above 18 years

 -  Patients with trauma.