Imaging and the child with abdominal pain

P J Strouse1

  • 1Section of Paediatric Radiology, C. S. Mott Children's Hospital, Room F3503, University of Michigan Medical Center, 1500 East Medical Center Drive, Ann Arbor, Michigan, USA. pstrouse@umich.edu

Singapore Medical Journal
|October 17, 2003
PubMed

Insights

Pediatric abdominal pain is a frequent reason for medical visits. This review emphasizes using radiologic imaging to diagnose common and significant causes of childhood abdominal pain.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Imaging in Children
  • Clinical Pediatrics

Background:

  • Abdominal pain is a prevalent symptom in pediatric care, accounting for many unscheduled office and emergency room visits.
  • Children experience abdominal pain as acute episodes or chronic, recurrent conditions.
  • Organic causes requiring intervention are infrequent in children presenting with abdominal pain.

Purpose of the Study:

  • To discuss the common and clinically significant causes of abdominal pain in children.
  • To emphasize the role of radiologic imaging in the diagnostic workup of pediatric abdominal pain.
  • To provide a comprehensive overview of diagnostic strategies for childhood abdominal pain.

Main Methods:

  • Literature review and synthesis of common pediatric abdominal pain etiologies.
  • Focus on the application and interpretation of various radiologic imaging modalities.
  • Discussion of clinically relevant differential diagnoses for abdominal pain in children.

Main Results:

  • Abdominal pain is a common, yet often benign, pediatric symptom.
  • Radiologic imaging plays a crucial role in identifying serious underlying conditions.
  • A systematic approach aids in differentiating common from rare causes of pain.

Conclusions:

  • Effective management of pediatric abdominal pain relies on accurate diagnosis.
  • Radiologic imaging is indispensable for evaluating significant causes of abdominal pain in children.
  • Understanding common etiologies and imaging findings improves patient outcomes.

Related Concept Videos

Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

Imaging Studies I: Kidney, Ureter, and Bladder Studies

Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Imaging Studies IV: Magnetic Resonance Imaging01:27

Imaging Studies IV: Magnetic Resonance Imaging

Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...