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Updated: Mar 23, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Abdominal emergencies in pediatrics
D Coca Robinot1, C Liébana de Rojas1, E Aguirre Pascual1
1Servicio de Radiología, Hospital Universitario 12 de Octubre, Madrid, España.
Insights
Pediatric emergency visits for abdominal symptoms are common. This review details common pediatric abdominal conditions, diagnostic imaging tests, and key imaging signs for accurate diagnosis.
Area of Science:
- Pediatric Emergency Medicine
- Radiology
- Diagnostic Imaging
Background:
- Abdominal symptoms are a leading cause of pediatric emergency department visits.
- Abdominal pain is the most frequently reported symptom in children presenting to emergency departments.
- Accurate diagnosis relies on thorough history, physical examination, and age-specific knowledge of common conditions.
Purpose of the Study:
- To review common pediatric abdominal conditions encountered in emergency settings.
- To outline appropriate imaging modalities for each condition.
- To describe characteristic imaging findings for differential diagnosis.
Main Methods:
- Review of common pediatric abdominal emergencies.
- Discussion of imaging techniques including ultrasonography, plain-film X-ray, and CT.
- Correlation of imaging findings with specific diagnoses.
Main Results:
- Ultrasonography is the primary imaging modality for most pediatric abdominal conditions.
- Plain-film X-ray is reserved for suspected perforation, obstruction, or foreign body ingestion.
- CT scans are utilized for specific indications or when ultrasonography findings are inconclusive.
Conclusions:
- Understanding age-specific abdominal conditions aids radiologists in differential diagnosis.
- Appropriate selection of imaging tests is crucial for efficient and accurate diagnosis in pediatric emergencies.
- Radiologists play a key role in diagnosing pediatric abdominal emergencies through targeted imaging interpretation.
Abstract:
Abdominal symptoms are among the most common reasons for pediatric emergency department visits, and abdominal pain is the most frequently reported symptom. Thorough history taking and physical examination can often reach the correct diagnosis. Knowing the abdominal conditions that are most common in each age group can help radiologists narrow the differential diagnosis. When imaging tests are indicated, ultrasonography is usually the first-line technique, enabling the diagnosis or adding relevant information with the well-known advantages of this technique. Nowadays, plain-film X-ray studies are reserved for cases in which perforation, bowel obstruction, or foreign body ingestion is suspected. It is also important to remember that abdominal pain can also occur secondary to basal pneumonia. CT is reserved for specific indications and in individual cases, for example, in patients with high clinical suspicion of abdominal disease and inconclusive findings at ultrasonography. We review some of the most common conditions in pediatric emergencies, the different imaging tests indicated in each case, and the imaging signs in each condition.
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