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Small bowel obstruction in the pediatric patient: CT evaluation
1The Russell H. Morgan Department of Radiology and Radiologic Science, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.
Abdominal Imaging
|September 1, 1997
Summary
Computed tomography (CT) aids in diagnosing pediatric small bowel obstruction (SBO). This study reviewed CT findings in children, identifying causes like adhesions and intussusception, demonstrating CT
Area of Science:
- Pediatric Radiology
- Gastrointestinal Imaging
- Surgical Pathology
Background:
- Limited literature exists on computed tomography (CT) for pediatric small bowel obstruction (SBO).
- Computed tomography (CT) is increasingly utilized in pediatric imaging.
- Small bowel obstruction (SBO) is a common surgical emergency in children.
Purpose of the Study:
- To review computed tomography (CT) findings in pediatric small bowel obstruction (SBO).
- To increase awareness of computed tomography (CT) as a problem-solving tool for SBO in children.
Main Methods:
- Retrospective review of 20 pediatric patients with surgically confirmed SBO.
- Exclusion of duodenal and neonatal obstruction cases.
- Evaluation of CT scans for bowel caliber, wall thickening, mesenteric changes, and obstruction cause.
Main Results:
- Small bowel dilatation observed in 19/20 patients; caliber transition in 17/19.
- Identified causes of SBO included adhesions (9), intussusception (4), abscess (2), and others.
- CT correctly identified the cause of obstruction in 45% of cases and predicted the cause in 7/9 with adhesions.
Conclusions:
- Computed tomography (CT) is a valuable tool for evaluating pediatric small bowel obstruction (SBO).
- CT can help determine the presence and cause of SBO in children.
- Further research can optimize CT protocols for pediatric SBO.