Use of Abdominal and Pelvic Ultrasound in The Evaluation of Chronic Abdominal Pain

The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian c...

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Bibliographic Details
Published in:Clinical pediatrics 1993-03, Vol.32 (3), p.147-150
Main Authors: Schmidt, Rosemary E., Babcock, Diane S., Farrell, Michael K.
Format: Article
Language:English
Subjects:
Abdomen
Abdomen - diagnostic imaging
Abdominal Pain - diagnostic imaging
Adolescent
Biological and medical sciences
Child
Child, Preschool
Chronic Disease
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Male
Medical sciences
Other diseases. Semiology
Outcome Assessment (Health Care)
Pelvis - diagnostic imaging
Prospective Studies
Ultrasonography
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Summary:The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite the CAP; the cyst later resolved. Pain was usually localized in the periumbilical area (56%). Follow-up data were obtained from referring physicians and patients' medical records. No serious diagnosis related to CAP was missed. After six months, CAP had resolved in 43% of patients. Of the responding physicians, 61 % indicated they would have used more and costlier contrast studies if ultrasonography had been unavailable.
ISSN:0009-9228
1938-2707
DOI:10.1177/000992289303200304