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Spectrum of bowel wall thickening on ultrasound with pathological correlation in children

Ione Limantoro1, Anna F Lee2, Daniel G Rosenbaum3

  • 1Department of Radiology, British Columbia Children's Hospital, University of British Columbia, 4500 Oak St., Vancouver, BC, V6H 3N1, Canada.

Pediatric Radiology
|May 5, 2022
PubMed

Insights

This review details normal and abnormal bowel wall architecture on ultrasound in children. Understanding these patterns aids in diagnosing various inflammatory, infectious, vascular, and neoplastic disorders.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Imaging

Background:

  • Ultrasound (US) applications in pediatric bowel imaging are established.
  • Limited focus exists on specific bowel wall architectural changes in pediatric disease states.

Purpose of the Study:

  • To review normal bowel wall architecture on US in children.
  • To illustrate abnormal bowel wall patterns in various pediatric gastrointestinal disorders.
  • To correlate US findings with pathological findings.

Main Methods:

  • Pictorial essay format.
  • Review of normal and abnormal bowel wall architecture on US.
  • Inclusion of inflammatory, infectious, vascular, and neoplastic conditions.
  • Pathological correlation provided.

Main Results:

  • Detailed description of normal pediatric bowel wall sonographic features.
  • Exemplification of characteristic US findings in diverse pediatric bowel pathologies.
  • Demonstration of pathological correlation for enhanced diagnostic accuracy.

Conclusions:

  • A comprehensive understanding of normal and abnormal bowel wall architecture on US is crucial.
  • Sonographic interpretation of pediatric bowel disorders can be significantly enriched.
  • US serves as a valuable adjunct to clinical investigation in pediatric gastrointestinal diseases.

Keywords:
Bowel wallChildrenColonGastrointestinal tractInflammatory bowel diseaseRadiology–pathology correlationSmall bowelThickeningUltrasound

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