We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
CT of pelviabdominal masses in pediatrics: Diagnostic algorithm.
- Authors
Mohamed Awwad, Amina Osama; Ahmed, Hanan Eissa; Mohammed, Shaimaa Abdelsattar
- Abstract
Background: Pelviabdominal masses are common in children. It can be a leadig cause of considerable morbidity and mortality. Objective: To review the different pelviabdominal masses and their diagnostic criteria using the multidetector CT scans in order to build an approach for diagnosis. Methods: A retrospective study, conducted at Ain Shams University hospitals on children complaining of pelviabdominal masses, the patients were investigated using CT scans in the period between June 2018 till end of May 2019. Results: pelviabdominal CT scan of 70 patients were reviewed. Their age ranged from 7 days to 18 years old, the mean was 8 years of age (SD ± 5.5). 31 male : 39 female. Abdominal masses of pediatrics were congenital ( 9 case), neoplastic ( 20 cases), inflammatory ( 23 casaes) and post traumatic in origin (3 cases). The most common congenital masses were PUJO, neoplastic were neuroblastomas, inflammatory were abscess. Diagnostic approach should start with determination of the organ of origin followed by determination of its morphology and pattern of contrast enhancement. The kidney was found to be the most common organ of origin in 25.7% of cases followed by the adenxa. Conclusion: the organ of origin and morphology of the lesion are key imaging features that will help the radiologist reach a definitive diagnosis or deliver a possible differential diagnosis.
- Subjects
COMPUTED tomography; ALGORITHMS; PEDIATRICS; DIAGNOSIS; NEUROBLASTOMA; DIFFERENTIAL diagnosis
- Publication
QJM: An International Journal of Medicine, 2021, Vol 114, pi335
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcab106.011