Related Experiment Video
Updated: Feb 3, 2026

Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
Published on: September 20, 2024
[Radiological evaluation of acute abdomen in children]
1Sektion Pädiatrische Radiologie, Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.
Insights
Pediatric abdominal pain diagnosis relies on ultrasonography. Advanced imaging like MRI is reserved for unclear ultrasound findings, ensuring efficient and accurate patient care.
Area of Science:
- Pediatric Radiology
- Medical Imaging
- Diagnostic Techniques
Background:
- Acute, non-traumatic abdominal pain is a common pediatric consultation reason.
- Understanding age-dependent diseases is crucial for accurate diagnosis and treatment.
Purpose of the Study:
- To outline the diagnostic imaging approach for acute, non-traumatic abdominal pain in children.
- To emphasize the role of ultrasonography as the primary imaging modality.
Main Methods:
- Ultrasonography is the initial imaging choice.
- X-ray is reserved for emergencies like suspected perforation.
- Contrast-enhanced ultrasonography (CEUS), elastography, and MRI supplement ultrasonography for complex cases.
Main Results:
- Ultrasonography is effective for diagnosing various pediatric abdominal conditions.
- Advanced imaging techniques like MRI are valuable for clarifying indeterminate sonographic results.
- CEUS and elastography offer complementary diagnostic information.
Conclusions:
- Ultrasonography is the primary imaging modality for pediatric abdominal pain.
- Cross-sectional imaging (e.g., MRI) should be utilized judiciously for unclear sonographic findings.
- This approach optimizes diagnosis and management of pediatric abdominal emergencies.
Clinical/Methodical Issue:
Acute, non-traumatic abdominal pain is one of the main reasons for medical consultation in pediatric patients. Knowledge of different diseases and their age dependence is essential for correct diagnosis and treatment.
Standard Radiological Methods:
Ultrasonography is the imaging method of choice. X‑ray is only used in case of emergency, e. g., suspected perforation.
Methodical Innovations:
Contrast-enhanced ultrasonography (CEUS) and elastography complement ultrasonography.
Performance:
Magnetic resonance imaging is of increasing relevance for differential diagnosis of unclear sonographic results.
Practical Recommendations:
The primary imaging modality in pediatric patients is ultrasonography. Cross-sectional imaging should only be used in cases of unclear sonographic findings.
Related Concept Videos
Muscles of the Abdomen
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
Veins of the Abdomen and Pelvis
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
Assessment of the Abdomen II: Percussion
Percussion
Percussion is an essential...
Assessment of the Abdomen III: Palpation
Radiological Investigation I: X-ray and CT
Assessment of the Abdomen I: Inspection and Auscultation
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....

