ULTRASONOGRAPHY FINDINGS IN EGYPTIAN CHILDREN WITH ABDOMINAL PAIN | ||
| Al-Azhar Journal of Pediatrics | ||
| Article 10, Volume 23, Issue 1, January 2020, Pages 811-824 PDF (298.85 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/azjp.2020.79330 | ||
| Authors | ||
| Manal Sayed Ramadan; Raghdaa Ali; Mennat Allah Magdy El barbary | ||
| Abstract | ||
| Background: The use of ultrasound (US) has been gaining favor in abdominal pain as the initial study choice. The sensitivity and specificity of ultrasound was high. Aim of current study: was to assess value of US in different cases of abdominal pain. Subject and Methods: The present study was conducted on 280 children complaining of abdominal pain and referred to ultrasonography department in Abo El Rich Hospital and Ahmed Maher teaching Hospital during the period from January to June 2017. Inclusion criteria were Children 1-16 years of both sex, all children were subjected to: detailed history taking, thorough clinical examination, complete urine and stool analysis, abdominal US. Results: Out of 280 children complaining of abdominal pain 125 (44.6 %) were male and 155 (55.4 %) children were female, mean age 9.28 ±2.92 years (range from 1- 16 years). Functional Abdominal Pain (FAP) represent the higher percentage of cases 92 (32.9) followed by post-operative pain 52 (18.6%), then urolithiasis 45 (16.1%), then parasitic infestation 25 (8.9%), mesenteric adenitis, hepatitis and FMF were (3.6%, 6.8% and 6.4% respectively). Intussusceptions and appendicitis were 3.2% and 1.4% respectively. While the lowest percentage was obtained in pancreatitis, gallbladder disease and ovarian cyst 2 (0.7%). Significant difference between cases as regard the sex, in favor of female than male in FAP, Post-operative pain , urolithiasis, hepatitis, FMF and appendicitis. However, intussusceptions and parasitic infestation in favor of male. Higher percentage of peri-umbilical in FAP, right lower quadrant in mesenteric adenitis, appendicitis, intussusceptions and ovarian cyst, right upper quadrant in hepatitis , gallbladder disease. Conclusion: US had an important role in differentiating causes of abdominal pain. | ||
| Keywords | ||
| Ultrasound; Functional abdominal pain; Familial Mediterranean fever | ||
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