Abdominal imaging is commonly required in pediatric patients due to the wide range of etiologies causing abdominal presentations in these patients and the need for prompt and accurate diagnosis. The range of modalities used in pediatric abdominal imaging is constantly changing as clinicians increasingly use a variety of complementary modalities to arrive at an accurate diagnosis. For instance, sonography, which is commonly used in pediatric patients if initial studies such as radiography are inconclusive, is often key to arriving at a definitive diagnosis and rapidly determining the urgency of the patient's condition. Through a series of case studies, this article will review common pediatric abdominal pathologies and the imaging studies, including radiography, sonography, and computed tomography, required for accurate diagnosis and treatment. In addition, an interview with our Editor-In-Chief, M. Robert DeJong, Jr, RDMS, RDCS, RVT, provides helpful insights and tips for imaging pediatric patients.
After reading this article, the participant should be able to:
- Identify pediatric abdominal pathologies commonly encountered in clinical practice.
- Describe the visual appearance of various pediatric abdominal tumors upon imaging with radiography, sonography, or computed tomography, including nephroblastoma, hepatoblastoma, and hepatocellular carcinoma.
- Understand common abdominal imaging findings in nonmalignant pediatric abdominal presentations, including acute appendicitis, intussusception, and pyloric stenosis.
Categories: Sonography, Radiography