Related Experiment Video
Updated: Aug 10, 2026

Image Acquisition using Portable Sonography for Emergency Airway Management
Published on: September 28, 2022
[Appendicular abcess presenting as an abdominal mass in early childhood. Radiological diagnosis (author's transl)]
Insights
Pediatric abdominal tumors in young boys were linked to pelvic abscesses from appendicitis. Antibiotic treatment complicated diagnosis, but imaging confirmed the masses.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Infectious Diseases
Background:
- Appendicitis can lead to pelvic abscesses in children.
- Abdominal tumors may present with complex symptoms.
Observation:
- Two young boys presented with abdominal tumors.
- Pelvic abscesses secondary to pelvic appendicitis were identified in both cases.
- Previous antibiotic therapy altered the clinical presentation.
Findings:
- Radiological examinations, including intravenous pyelogram and barium enema, were crucial for diagnosis.
- Imaging helped localize the abdominal masses.
- Clinical data combined with imaging confirmed the diagnoses.
Implications:
- Early and accurate diagnosis of pediatric abdominal masses is vital.
- Imaging techniques play a critical role in complex pediatric cases.
- Understanding the impact of prior treatments is essential for diagnosis.
Abstract:
Two boys (two years and a half old) were admitted in this hospital for an abdominal tumor. In both cases a pelvic abcess was present, secondary to a pelvic appendicitis. Symptoms have been deeply modified by previous antibiotherapy. Radiological examinations including opacification of the urinary tract by a intravenous pyelogram and opacification of the recto-sigmoid by a baryum enema allowed in both cases to localize the mass and to lead to the diagnosis with the clinical data.
Related Concept Videos
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.
Appendicitis-I: Introduction
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...
Appendicitis-II: Diagnostic Studies and Management
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...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Imaging Studies III: Computed Tomography
Appendicitis

