KMID : 0816120070100010028
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Korean Journal of Pediatric Gastroenterolology and Nutrition 2007 Volume.10 No. 1 p.28 ~ p.35
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Analysis of 1,000 Cases of Abdominal Ultrasonography Performed by a Pediatrician
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Bae Sang-In
Park Jae-Hong
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Abstract
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Purpose: The aim of this study was to evaluate the clinical usefulness of ultrasound examination of children performed by a pediatrician.
Methods: One thousand children who presented with symptoms of a gastrointestinal disorder and underwent abdominal ultrasound evaluation in the Department of Pediatrics, between January 2003 and June 2006, were included in this study. We analyzed the patient¡¯s medical records and ultrasound results retrospectively.
Results: Among the 1,000 patients, 58.4% were male and 41.6% were female. The mean age of the patients was 4.7+/-4.0 years. The main reasons for ultrasound were abdominal pain (43.9%), vomiting (17.3%), elevated liver enzymes (11.8%), and jaundice (9.8%). Abnormal ultrasound findings were present in 57.9% of cases. The major abnormal findings were mesenteric lymphadenitis (29.2%), fatty liver (12.1%), hepatitis (6.4%), hepatosplenomegaly (6.2%), and acute appendicitis (4.8%). The time interval between the initial medical evaluation and the ultrasound evaluation was within 24 hours in most cases (78.5%). The main findings in children with abdominal pain were mesenteric lymphadenitis (32.6%), fatty liver (5.9%), intussusception (2.7%), and acute appendicitis (2.7%). The main findings in children with vomiting were mesenteric lymphadenitis (12.7%), hypertrophic pyloric stenosis (10.4%), and acute appendicitis (3.5%). The major ultrasound findings in children with urinary tract diseases were hydronephrosis (45.4%), urolithiasis (21.5%) and cystic renal disease (18.1%).
Conclusion: Ultrasound examination played an important role as a non-invasive and prompt screening examination for detection of abdominal diseases. Ultrasound was an important tool for pediatricians to determine timely information for patient management.
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KEYWORD
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Abdominal ultrasonography, Children, Pediatrician
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