Related Experiment Video

Updated: Jun 21, 2026

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Contemporary imaging of the child with abdominal pain or distress

David Manson1

  • 1Department of Diagnostic Imaging, The Hospital for Sick Children and the University of Toronto, Toronto, Ontario.

Paediatrics & Child Health
|August 6, 2009
PubMed

Insights

Evaluating acute abdominal pain in children requires careful imaging selection. Ultrasound is ideal for initial assessment, while CT serves as a valuable addition, guiding efficient diagnostic strategies.

Area of Science:

  • Pediatric Radiology
  • Diagnostic Imaging
  • Abdominal Pain Evaluation

Background:

  • Rapid technological advancements in diagnostic imaging create challenges in efficiently evaluating pediatric acute abdominal pain.
  • Clinical history and physical examination are crucial for guiding appropriate imaging protocols.
  • Plain films offer limited diagnostic value in this context.

Purpose of the Study:

  • To provide guidance on the efficient utilization of diagnostic imaging resources for children with acute abdominal pain.
  • To highlight the role of different imaging modalities in the diagnostic workup.
  • To emphasize the importance of clinical assessment in selecting imaging.

Main Methods:

  • Review of current diagnostic imaging modalities for pediatric acute abdominal pain.
  • Discussion of the strengths and limitations of ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI).
  • Focus on initial imaging choices and adjunctive roles.

Main Results:

  • Sonography demonstrates high sensitivity and specificity for certain conditions in children, making it well-suited for initial evaluation.
  • Computed tomography is a useful adjunctive tool.
  • Magnetic resonance imaging is still in early stages for abdominal pain assessment in this population.

Conclusions:

  • A structured approach to imaging, guided by clinical findings, is essential for managing pediatric acute abdominal pain.
  • Ultrasound is the preferred initial imaging modality due to its safety profile and efficacy.
  • CT should be considered as a secondary option when indicated.

Keywords:
Abdominal painAppendicitisImagingIntussusceptionUltrasound

Related Concept Videos

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...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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...
Assessment of the Abdomen I: Inspection and Auscultation01:25

Assessment of the Abdomen I: Inspection and Auscultation

Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Assessment of the Abdomen II: Percussion01:18

Assessment of the Abdomen II: Percussion

Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...