IMAGING CHILDREN WITH ACUTE RIGHT LOWER QUADRANT PAIN - 11/09/11
Résumé |
Acute right lower quadrant pain is a common complaint in the pediatric age group. It is associated with a large number of surgical and nonsurgical conditions. Approximately one half of all children who present with acute right lower quadrant pain will have a final diagnosis of abdominal pain of unknown origin.35, 37 The most frequent surgical diagnosis in children presenting with acute right lower quadrant pain is acute appendicitis.18 Appendicitis also is the most common condition requiring emergency abdominal surgery in children.18 Thus, it is typically the primary condition to be ruled out in children presenting with acute right lower quadrant pain.
In this article the imaging evaluation of children with acute right lower quadrant pain is discussed. This includes the rationale for imaging, technique for optimal imaging assessment, and findings at imaging evaluation. The assessment of acute appendicitis is the major focus. The role of imaging in the evaluation of other medical and surgical conditions resulting in acute right lower quadrant pain, however, also is presented.
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| Address reprint requests to Carlos J. Sivit, MD, Department of Radiology, Rainbow Babies and Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106–5056 |
Vol 44 - N° 3
P. 575-589 - juin 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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