Skip to main content
SpringerLink
Log in

Ultrasound of the duodenum in children

  • Pictorial Essay
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Ultrasound is well suited for examining the pediatric duodenum, given the small size of the patients, the lack of ionizing radiation and high-resolution imaging potential. Technical considerations, normal anatomy, congenital and acquired pathology of the duodenum, and the advantages and limitations of US are discussed and illustrated in this review.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13

Similar content being viewed by others

References

  1. Yousefzadeh DK (2009) The position of the duodenojejunal junction: the wrong horse to bet on in diagnosing or excluding malrotation. Pediatr Radiol 39:S172–S177

    Article  PubMed  Google Scholar 

  2. Weinberger E, Winters WD, Liddell RM et al (1992) Sonographic diagnosis of intestinal malrotation in infants: importance of the relative positions of the superior mesenteric vein and artery. AJR Am J Roentgenol 159:825–828

    Article  CAS  PubMed  Google Scholar 

  3. Dufour D, Delaet MH, Dassonville M et al (1992) Midgut malrotation, the reliability of sonographic diagnosis. Pediatr Radiol 22:21–23

    Article  CAS  PubMed  Google Scholar 

  4. Zerin JM, DiPietro MA (1992) Superior mesenteric vascular anatomy at US in patients with surgically proved malrotation of the midgut. Radiology 183:693–694

    Article  CAS  PubMed  Google Scholar 

  5. Applegate KE (2009) Evidence-based diagnosis of malrotation and volvulus. Pediatr Radiol 39:S161–S163

    Article  PubMed  Google Scholar 

  6. Benya EC, Ben-Ami TE, Whitington PF et al (1998) Duodenum and duodenal-jejunal junction in children: position and appearance after liver transplantation. Radiology 207:233–236

    Article  CAS  PubMed  Google Scholar 

  7. Menten R, Reding R, Godding V et al (2012) Sonographic assessment of the retroperitoneal position of the third portion of the duodenum: an indicator of normal intestinal rotation. Pediatr Radiol 42:941–945

    Article  PubMed  Google Scholar 

  8. Pracros JP, Sann L, Genin G et al (1992) Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign. Pediatr Radiol 22:18–20

    Article  CAS  PubMed  Google Scholar 

  9. Menten R, Dumitriu D, Clapuyt P et al (2013) Reply to Dr. B. Karmazyn regarding ‘Duodenum between the aorta and the SMA does not exclude malrotation’. Pediatr Radiol 43:123

    Article  PubMed  Google Scholar 

  10. Schlesinger AE (2008) Duodenum: congenital anomalies. In: Slovis TL (ed) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby Elsevier, Philadelphia, pp 2106–2117

    Chapter  Google Scholar 

  11. Torfs CP, Christianson RE (1998) Anomalies in Down syndrome individuals in a large population-based registry. Am J Med Genet 77:431–438

    Article  CAS  PubMed  Google Scholar 

  12. Berrocal T, Torres I, Gutiérrez J et al (1999) Congenital anomalies of the upper gastrointestinal tract. Radiographics 19:855–872

    Article  CAS  PubMed  Google Scholar 

  13. Barr LL, Hayden CK Jr, Stansberry SD et al (1990) Enteric duplication cysts in children: are their ultrasonographic wall characteristics diagnostic? Pediatr Radiol 20:326–328

    Article  CAS  PubMed  Google Scholar 

  14. Hur J, Yoon CS, Kim MJ et al (2007) Imaging features of gastrointestinal tract duplications in infants and children: from oesophagus to rectum. Pediatr Radiol 37:691–699

    Article  PubMed  Google Scholar 

  15. Cheng G, Soboleski D, Daneman A et al (2005) Sonographic pitfalls in the diagnosis of enteric duplication cysts. AJR Am J Roentgenol 184:521–525

    Article  CAS  PubMed  Google Scholar 

  16. Kim YJ, Kim YK, Jeong YJ et al (2009) Ileal duplication cyst: Y-configuration on in vivo sonography. J Pediatr Surg 44:1462–1464

    Article  PubMed  Google Scholar 

  17. Schlesinger AE (2008) Duodenum: tumors and tumor-like conditions. In: Slovis TL (ed) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby Elsevier, Philadelphia, pp 2131–2132

    Chapter  Google Scholar 

  18. Hwang CS, Chu CC, Chen KC et al (2001) Duodenojejunal intussusception secondary to hamartomatous polyps of duodenum surrounding the ampulla of Vater. J Pediatr Surg 36:1073–1075

    Article  CAS  PubMed  Google Scholar 

  19. Gentile AT, Bickler SW, Harrison MW et al (1994) Common bile duct obstruction related to intestinal polyposis in a child with Peutz-Jeghers syndrome. J Pediatr Surg 29:1584–1587

    Article  CAS  PubMed  Google Scholar 

  20. Chiarugi M, Galatioto C, Lippolis P et al (2007) Gastrointestinal stromal tumour of the duodenum in childhood: a rare case report. BMC Cancer 7:79

    Article  PubMed  PubMed Central  Google Scholar 

  21. Schlesinger AE (2008) Duodenum: acquired obstruction. In: Slovis TL (ed) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby Elsevier, Philadelphia, pp 2118–2121

    Chapter  Google Scholar 

  22. Gaines BA, Shultz BS, Morrison K et al (2004) Duodenal injuries in children: beware of child abuse. J Pediatr Surg 39:600–602

    Article  PubMed  Google Scholar 

  23. Guzman C, Bousvaros A, Buonomo C et al (1998) Intraduodenal hematoma complicating intestinal biopsy: case reports and review of the literature. Am J Gastroenterol 93:2547–2550

    CAS  PubMed  Google Scholar 

  24. Jeong YK, Ha HK, Yoon CH et al (1997) Gastrointestinal involvement in Henoch-Schönlein syndrome: CT findings. AJR Am J Roentgenol 168:965–968

    Article  CAS  PubMed  Google Scholar 

  25. Ebert EC (2008) Gastrointestinal manifestations of Henoch-Schonlein purpura. Dig Dis Sci 53:2011–2019

    Article  PubMed  Google Scholar 

  26. Dumitriu D, Menten R, Smets F et al (2014) Postendoscopic duodenal hematoma in children: ultrasound diagnosis and follow-up. J Clin Ultrasound 42:550–553

    Article  PubMed  Google Scholar 

  27. Ünal B, Aktaş A, Kemal G et al (2005) Superior mesenteric artery syndrome: CT and ultrasonography findings. Diagn Interv Radiol 11:90–95

    PubMed  Google Scholar 

  28. Arthurs OJ, Mehta U, Set PA (2012) Nutcracker and SMA syndromes: What is the normal SMA angle in children? Eur J Radiol 81:e854–e861

    Article  CAS  PubMed  Google Scholar 

  29. Goldberg BB, Perlmutter G (1977) Ultrasonic evaluation of the superior mesenteric artery. J Clin Ultrasound 5:185–187

    Article  CAS  PubMed  Google Scholar 

  30. Schlesinger AE (2008) Duodenum: inflammatory conditions. In: Slovis TL (ed) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby Elsevier, Philadelphia, pp 2122–2130

    Chapter  Google Scholar 

  31. Turner D, Griffiths AM (2007) Esophageal, gastric, and duodenal manifestations of IBD and the role of upper endoscopy in IBD diagnosis. Curr Gastroenterol Rep 9:475–478

    Article  PubMed  Google Scholar 

  32. Castellaneta SP, Afzal NA, Greenberg M et al (2004) Diagnostic role of upper gastrointestinal endoscopy in pediatric inflammatory bowel disease. J Pediatr Gastroenterol Nutr 39:257–261

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Pediatric Radiology Unit, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Avenue Hippocrate no. 10, 1200, Brussels, Belgium

    Dana I. Dumitriu, Renaud Menten & Philippe Clapuyt

Authors
  1. Dana I. Dumitriu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Renaud Menten
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Philippe Clapuyt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dana I. Dumitriu.

Ethics declarations

Conflicts of interest

None

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dumitriu, D.I., Menten, R. & Clapuyt, P. Ultrasound of the duodenum in children. Pediatr Radiol 46, 1324–1331 (2016). https://doi.org/10.1007/s00247-016-3564-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-016-3564-4

Keywords

Search

Navigation