ABSTRACTS FOR APEM SESSION
Abstracts for APEM session, Wednesday 16 September 13.45–15.15, Read Lecture TheatreUltrasound use in children presenting with atraumatic abdominal pain
Royal Hospital for Sick Children
| The first 150 words of the full text of this article appear below. |
Ultrasound is increasingly being used in the diagnosis of abdominal pain and may avoid unnecessary procedures in children. The aim of this study was to review the use of ultrasound in children with atraumatic abdominal pain presenting to a tertiary paediatric emergency department.
Methods and Results
A total of 98 children had an abdominal ultrasound performed on attendance or admission to help with the diagnosis of abdominal pain (43 girls, 55 boys, median age 135 months, interquartile range 103–149). The commonest reason for performing an ultrasound was to exclude appendicitis (table).
Ultrasound picked up two unexpected cases of appendicitis, but was incorrect in four cases. One child had a normal examination with subsequent appendicitis requiring surgery; another child with suspected gynaecological cause of pain on ultrasound had appendicitis; another child had an appendectomy after initial diagnosis of mesenteric nodes on ultrasound; and
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