Right Lower Quadrant Pathology Including the Right Pelvis in the Pubertal Female

  • E. F. Avni
  • F. Ziereisen
  • M. Dassonville
  • N. Damry
  • C. Christophe
  • V. Segers
Conference paper
Part of the Syllabus book series (SYLLABUS)


Pain in the right lower quadrant (RLQ) is common in children and represents a daily challenge for the clinician. This is even more difficult in the adolescent girl as the pain may have a gynecologic origin; furthermore, in girls, the psychological aspects are as important as the disease itself since their gynecologic future might be compromised.


Adolescent Girl Ovarian Cyst Pelvic Inflammatory Disease Adnexal Mass Ovarian Torsion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Suggested Reading

  1. Siegel MJ, Carel C, Sunatt S (1991) Ultrasonography of acute abdominal pain in children. JAMA 266: 1987–1989PubMedCrossRefGoogle Scholar
  2. Dickson JAS. Telfer J. Jones A. de Dombal T (1988) Acute abdominal pain in children. Scand J Gastroenterol 23: 43–46CrossRefGoogle Scholar
  3. Irvin TT (1989) Abdominal pain: a surgical audit of 1190 emergency admissions. Br J Surg 76: 1121–1125PubMedCrossRefGoogle Scholar
  4. Scholer SJ, Pituch K. Orr DP. Dittro RS (1996) Clinical outcomes of children with acute abdominal pain. Pediatrics 98: 680–685PubMedGoogle Scholar
  5. Banrjee R, Laufer MR (1998) Reproductive disorders associated with pelvic pain. Semin Pediatr Surg 7: 52–61Google Scholar
  6. Athea N (1998) Ultrasonography of the pelvis in adolescents. Ann Pediatr 45: 341–347Google Scholar
  7. Weimersheiner P (1997) Non-operative causes of abdominal pain. Surg Clin North Amer 77: 1433–1454CrossRefGoogle Scholar
  8. Teele RL, Share JC (1992) US of the female pelvis in childhood and adolescence. Radiol Clin North Amer 30: 743–758Google Scholar
  9. States LJ, Bellah RD (1996) Imaging of the pediatric female pelvis. Semin Roentgenol 31: 312–329PubMedCrossRefGoogle Scholar
  10. Barnewolt C (1998) Imaging techniques to assess the pelvis in young females. Semin Pediatr Surg 7: 73–81PubMedGoogle Scholar
  11. Bellah RD, Rosenberg HH (1991) Transvaginal US in children’s hospital. Pediatr Radiol 21: 570–574PubMedCrossRefGoogle Scholar
  12. Cohen HL, Bober SE, Bow SN (1992) Imaging the pediatric pelvis: the normal and abnormal genital tract and simulators of its disease. Urol Radiol 14: 273–278PubMedCrossRefGoogle Scholar
  13. Cohen HL, Eisenberg P, Mandel F, Haller JO (1992) Ovarian cysts are common in premenarchal girls: US of 101 children 212 years old. AJR 159: 89–91PubMedGoogle Scholar
  14. Helmrath MA, Shin CE, Warner BW (1998) Ovarian cysts in the pediatric population. Semin Pediatr Surg 7: 19–28PubMedGoogle Scholar
  15. Warner BW, Kulu JC, Bau LL (1992) Conservative management of large ovarian cysts in children: the value of serial pelvic US. Surgery 112: 749–755PubMedGoogle Scholar
  16. Quillin SP, Siegel MJ (1994) Transabdominal color Doppler US of the painful adolescent ovary. J Ultrasound Med 13: 549–555PubMedGoogle Scholar
  17. Stark JE, Siegel MJ (1994) Ovarian torsion in prepubertal and pubertal girls US findings. AJR 163: 1479–1482PubMedGoogle Scholar
  18. Willms AB, Schlund JF, Meyer WR (1995) Endovaginal Doppler US in ovarian torsion. Ultrasound Obstet Gynecol 5: 129–132PubMedCrossRefGoogle Scholar
  19. Sunatt JT, Siegel MJ (1991) Imaging of pediatric ovarian masses. Radiographics 11: 533–548Google Scholar
  20. Rigsby CK, Siegel MJ (1994) CT appearance of pediatric ovaries and uterus. JCAT 18: 72–76Google Scholar
  21. Quillin SP, Siegel MJ (1992) CT features of benign and malignant teratomas in children. JCAT 16: 722–726Google Scholar
  22. Lazar EZ, Stolar CJH (1998) Evaluation and management of pediatric solid ovarian tumors. Semin Pediatr Surg 7: 29–34PubMedGoogle Scholar
  23. Blythe MJ (1998) Pelvic inflammatory disease in the adolescent population. Semin Pediatr Surg 7: 43–51PubMedGoogle Scholar
  24. Kupesic S, Kurjak A, Palasik L, et al. (1995) The value of trans-vaginal color Doppler in the assessment of pelvic inflammatory disease. Ultras Med Biol 21: 733–738CrossRefGoogle Scholar
  25. Golden Neuhoff S, Cohen H (1989) Pelvic inflammatory disease in adolescents. J Pediatr 114: 138–143PubMedCrossRefGoogle Scholar
  26. Ammerman S, Shafer MA, Snyder D (1990) Ectopic pregnancy in adolescents: a clinical review for pediatricians. J Pediatr 117: 677–686PubMedCrossRefGoogle Scholar
  27. Tran ATB, Arensman R, Falteman KW (1987) Diagnosis and management of hydrohematocolpos syndromes. AJDC 141: 632–634PubMedGoogle Scholar
  28. Shatjkers DR, Haller JO, Velcek FT (1991) Imaging of utero-vaginal anomalies in the pediatric patients. Urol Radiol 13: 58–66CrossRefGoogle Scholar
  29. Vignault F, Filiatrault D, Brandt ML, et al. (1990) Acute appendicitis in children: evaluation with US. Radiology 176: 501–504PubMedGoogle Scholar
  30. Sivit G, Newman KD, Boening DA, et al. (1992) Appendicitis: usefulness of US in diagnosis in a pediatric population. Radiology 185: 549–552PubMedGoogle Scholar
  31. Sivit CJ, Newman KD, Chandra RS (1993) Visualization of enlarged mesenteric lymphnodes at US examination. Pediatr Radiol 23: 471–475PubMedCrossRefGoogle Scholar
  32. Watanabe M, Ishii E, Hirowatari Y, et al. (1997) Evaluation of abdominal lymphadenopathy in children by US. Pediatr Radiol 27: 860–864PubMedCrossRefGoogle Scholar
  33. Rao PM, Rhea JT, Novelline RA (1997) CT diagnosis of mesenteric adenitis. Radiology 202: 405–409Google Scholar
  34. Faure C, Belarbi N. Mougenot JF, et al. (1997) US assessment of inflammatory bowel disease in children: comparison with ilecolonoscopy. J Pediatr 130: 147–151PubMedCrossRefGoogle Scholar
  35. Karak PK, Millmond SH, Neumann D, Yamase HT, Ramsby G (1998) Omental infarction: report of three cases and review of the literature. Abdom Imaging 23: 96–98PubMedCrossRefGoogle Scholar
  36. Davey MS, Cohen MD (1996) Imaging of GI malignancy in childhood. Radiol Clin North Amer 34: 717–741Google Scholar
  37. Disantis DJ, Siegel MJ, Katz ME (1991) Simplified approach to umbilical remnant abnormalities. Radiographics 11: 59–66PubMedGoogle Scholar
  38. Avni EF, Matos C, Diard F. Schulman CC (1998) Midline omphalovesical anomalies in children. Urol Radiol 10: 189–194CrossRefGoogle Scholar
  39. Schwarz DS, Keller MS (1997) Deep venous thrombosis as a cause of pelvic pain in children. J Ultrasound Med 16: 281–289Google Scholar
  40. Cheah WK, King PA, Tan HL (1994) A review of pediatric cases of urinary tract calculi. J Pediatr Surgery 29: 701–705CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1999

Authors and Affiliations

  • E. F. Avni
    • 1
  • F. Ziereisen
    • 1
  • M. Dassonville
    • 2
  • N. Damry
    • 1
  • C. Christophe
    • 1
  • V. Segers
    • 3
  1. 1.Department of Medical ImagingUniversity Children’s Hospital Queen FabiolaBrusselsBelgium
  2. 2.Department of Pediatric SurgeryUniversity Children’s Hospital Queen FabiolaBrusselsBelgium
  3. 3.Department of PathologyUniversity Children’s Hospital Queen FabiolaBrusselsBelgium

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