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2017 | 17 | 68 | 66–72
Article title

Mistakes in the ultrasound diagnostics of the abdominal cavity in pediatrics

Content
Title variants
PL
Pomyłki w diagnostyce ultrasonograficznej jamy brzusznej w pediatrii
Languages of publication
EN PL
Abstracts
EN
The diagnostics of the abdominal cavity in children, especially in the neonatal-infantile period, requires knowledge in the field of anatomical and physiopathological differences as well as clinical symptomatology and pathology at every stage of the child’s development. Errors and mistakes in ultrasound diagnostics of the abdominal cavity in children result from many factors, including lack of experience in examining children and the knowledge concerning most frequent ailments and pathologies as well as the incidence or no changes in the ultrasound image of the abdominal cavity organs. The assessment of the ultrasound image should be always based on clinical data of the patient, information on the past diseases, surgeries and the results of additional examinations and laboratory tests. Particular attention should be paid to the occurrence of congenital diseases and inflammations, which may have varied clinical manifestation – especially in the case of pediatric diagnostics. The variety and non-specific nature of clinical symptoms may also mask the developing neoplastic process. Mistakes in ultrasound diagnostics, especially among the youngest children, may also be caused by technical difficulties related to carrying out the examination. The above situation results from lack of cooperation with the child, who is uneasy, wailing, fails to perform orders, which may lead to overlooking the existing lesion or overinterpreting, e.g. a full stomach or residual stool in the intestines to be a pathology. It is also of high importance to have a good class of the ultrasound equipment and technical knowledge concerning its operation. When performing an ultrasound examination in children, it is necessary to apply a wide range of phased-array, convex and linear heads and appropriate applications, the so-called pediatric software (stomach, kidneys, true pelvis, organs at the surface).
PL
Błędy i pomyłki w diagnostyce ultrasonograficznej jamy brzusznej u dzieci wynikają z wielu czynników. Najpoważ- niejszym jest brak doświadczenia w badaniu dzieci i brak znajomości fizjologicznych procesów zachodzących w rozwijającym się organizmie, mających przełożenie na obraz ultrasonograficzny niektórych narządów. Różnorodność i niespecyficzność u dzieci objawów klinicznych, które mogą naśladować wady wrodzone, choroby zapalne, jak i maskować proces nowotworowy, stanowią kolejną przyczynę trudności w diagnostyce pediatrycznej. Bardzo ważna w procesie diagnostycznym jest korelacja obrazu ultrasonograficznego z danymi klinicznymi pacjenta, wynikami innych badań obrazowych oraz z zakresem wykonanego zabiegu operacyjnego(1). Artykuł w wersji polskojęzycznej jest dostępny na stronie http://jultrason.pl/wydawnictwa/volume-17-no-68
Discipline
Publisher

Year
Volume
17
Issue
68
Pages
66–72
Physical description
Contributors
  • Child Radiology Department, Medical University of Lublin, Lublin, Poland, usg@dsklublin.pl
References
  • 1. Di Giacomo V, Trinci M, van der Byl G, Catania VD, Calisti A, Miele V: Ultrasound in newborns and children suffering from non-traumatic acute abdominal pain: imaging with clinical and surgical correlation. J Ultrasound 2014; 18: 385–393.
  • 2. Brodzisz A: Badanie USG jamy brzusznej u dzieci. W: W. Jakubowski (ed.), Standardy badań ultrasonograficznych Polskiego Towarzystwa Ultrasonograficznego. Roztoczańska Szkoła Ultrasonografii, Warszawa–Zamość 2008.
  • 3. De Bruyn R (ed.): Ultrasonografia w pediatrii. Elsevier Urban & Partner, Wrocław 2011.
  • 4. Fufezan O, Asavoaie C, Blag C, Popa G: The role of ultrasonography for diagnosis the renal masses in children. Pictorial essay. Med Ultrason 2011; 13: 59–71.
  • 5. Siegiel MJ (ed.): Ultrasonografia pediatryczna. MediPage, Warszawa 2012.
  • 6. Otero HJ, Rubio E, Blask A: Ovary and testicle and everything in between: lesions and imaging in the newborn. Semin Ultrasound CT MR 2015; 36: 178–192.
  • 7. Saxena AK, Gupta P, Sodhi KS: Ultrasonography: Applications in Pediatric Abdomen. Indian J Pediatr 2016; 83: 553–564.
  • 8. Reust CE, Williams A: Acute abdominal pain in children. Am Fam Physician 2016; 93: 830–836.
Document Type
article
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.psjd-2bc9216e-d978-4c36-9a33-7ba8b4d9b1c3
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