An Approach to Imaging the Acute Abdomen in Pediatrics

  • Alan Daneman


The acute abdomen is a common and often extremely challenging emergency in pediatrics. This chapter outlines an approach to imaging evaluation and management of children with acute abdominal pain and focuses attention on the more common causes of abdominal pain that may require surgery.


Acute Appendicitis Acute Abdomen Acute Abdominal Pain Contrast Enema Plain Abdominal Radiograph 
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Suggested Reading

  1. Baldisserotto M, Marchiori E (2000) Accuracy of noncompressive sonography of children with appendicitis according to the potential positions of the appendix. AJR Am J Roentgenol 175:1387–1392.PubMedCrossRefGoogle Scholar
  2. Buonomo C (1999) The radiology of necrotizing enterocolitis. RCNA 37:1187–1198.Google Scholar
  3. Daneman A (2009) Malrotation: the balance of evidence. Pediatr Radiol 39:S164–S166.PubMedCrossRefGoogle Scholar
  4. Daneman A, Lobo E, Alton DJ, Shuckett B (1998) The value of sonography, CT and air enema for detection of complicated Meckel diverticulum in children with nonspecific clinical presentation. Pediatr Radiol 28:928–932.PubMedCrossRefGoogle Scholar
  5. Daneman A, Myers M, Shuckett B, Alton DJ (1997) Sonographic appearances of inverted Meckel diverticulum with intussusception. Pediatr Radiol 27:295–298.PubMedCrossRefGoogle Scholar
  6. Daneman A, Alton DJ, Lobo E et al (1998) Patterns of recurrence of intussusception in children: a 17 year review. Pediatr Radiol 28:913–919.PubMedCrossRefGoogle Scholar
  7. Daneman A, Navarro O (2003) Intussusception Part 1: a review of diagnostic approaches. Pediatr Radiol 33:79–85.PubMedCrossRefGoogle Scholar
  8. Daneman A, Navarro O (2004) Intussusception Part 2: an update on the evolution of management. Pediatr Radiol 34:97–108.PubMedCrossRefGoogle Scholar
  9. del-Pozo G, Abillos JC, Tejedor D (1996) Intussusception: US findings with pathologic correlation — the crescent-in-doughnut sign. Radiology 199:688–692.PubMedCrossRefGoogle Scholar
  10. del-Pozo G, Albillos JC, Tejedor D et al (1999) Intussusception in children: current concepts in diagnosis and enema reduction. Radiographics 19:299–319.PubMedCrossRefGoogle Scholar
  11. Donnolly LF, Rencken IO, deLorimier AA, Gooding CA (1996) Left paraduodenal hernia leading to ileal obstruction. Pediatr Radiol 26:534–536.CrossRefGoogle Scholar
  12. Epelman M, Daneman A, Navarro OM et al (2007) Necrotizing enterocolitis: review of state-of-the-art imaging findings with pathologic correlation. Radiographics 27:285–305.PubMedCrossRefGoogle Scholar
  13. Faingold R, Daneman A, Tomlinson C et al (2005) Bowel viability assessment by colour doppler sonography in necrotizing enterocolitis. Radiology 235:587–594.PubMedCrossRefGoogle Scholar
  14. Kim G, Daneman A, Alton DJ et al (1997) The appearance of inverted Meckel diverticulum with intussusception on air enema. Pediatr Radiol 27:647–650.PubMedCrossRefGoogle Scholar
  15. Kornecki A, Daneman A, Navarro O et al (2000) Spontaneous reduction of intussusception: clinical spectrum, management and outcome. Pediatr Radiol 30:58–63.PubMedCrossRefGoogle Scholar
  16. Levy AD, Hobbs CM (2004) From the Archives of the AFIP. Meckel Diverticulum: radiologic features with pathologic correlation. Radiographics 24:565–587.PubMedCrossRefGoogle Scholar
  17. Long FR, Kramer SS, Markowitz RI et al (1996) Intestinal malrotation in children: tutorial on radiographic diagnosis in difficult cases. Radiology 198:775–780.PubMedCrossRefGoogle Scholar
  18. Long FR, Kramer SS, Markowitz RI, Taylor GE (1996) Radio-graphic patterns of intestinal malrotation in children. Radiographics 16:547–556PubMedCrossRefGoogle Scholar
  19. Navarro OM, Daneman A, Chae A (2004) Intussusception: the use of delayed, repeated reduction attempts and the management of intussusceptions due to pathologic lead points in pediatric patients. AJR Am J Roentgenol 182:1169–1176.PubMedCrossRefGoogle Scholar
  20. Navarro O, Daneman A (2004) Intussusception. Part 3: diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol 34:305–312.PubMedCrossRefGoogle Scholar
  21. Puylaert JB (1986) Acute appendicitis: US evaluation using graded compression. Radiology 158:355–360.PubMedCrossRefGoogle Scholar
  22. Rohrschneider WK, Troger J (1995) Hydrostatic reduction of intussusceptions under US guidance. Pediatr Radiol 25:530–534.PubMedCrossRefGoogle Scholar
  23. Sargent MA, Babyn P, Alton DJ (1994) Plain abdominal radiography in suspected intussusception: a reassessment. Pediatr Radiol 24:17–20.PubMedCrossRefGoogle Scholar
  24. Silva CT, Daneman A, Navarro OM et al (2007) Correlation of sonographic findings and outcome in necrotizing enterocolitis. Pediatr Radiol 37:274–282.PubMedCrossRefGoogle Scholar
  25. Sivit CJ (2004) Imaging the child with right lower quadrant pain and suspected appendicitis: current concepts. Pediatr Radiol 34:447–453.PubMedCrossRefGoogle Scholar
  26. Strouse PJ (2000) Disorders of intestinal rotation and fixation (“malrotation”). Pediatr Radiol 34:837–851.CrossRefGoogle Scholar
  27. Taylor GA (2004) Suspected appendicitis in children: in search of the Single Best Diagnostic Test. Radiology 231:293–295.PubMedCrossRefGoogle Scholar
  28. Todani T, Sato Y, Watanabe Y et al (1990) Air reduction for intussusceptions in infancy and childhood: Ultrasonographic diagnosis and management without X-ray exposure. Z Kinderchir 45:222–226.PubMedGoogle Scholar
  29. Verschelden P, Filiatraut D, Garel L et al (1992) Intussusception in children: reliability of US in diagnosis — a prospective study. Radiology 184:741–744.PubMedCrossRefGoogle Scholar
  30. Yousefzadeh DK (2009) The position of the duodenojejunal junction; the wrong horse to back on in diagnosing or excluding malrotation. Pediatr Radiol 39:S172–S177.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  • Alan Daneman
    • 1
    • 2
  1. 1.University of TorontoTorontoCanada
  2. 2.Department of Diagnostic ImagingThe Hospital for Sick ChildrenTorontoCanada

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