Journal of AdvancedMedical and Dental Sciences Research

Background:Acute abdominal pain in the pediatric age group can be caused by a variety of conditions, ranging from mild and self-limiting to severe and life-threatening. The present study was conducted to assess the role of USG in assessment of surgical causes of acute abdominal pain in children. Materials & Methods:58 children with abdominal pain of both genders were included. Grey- scale ultrasonography (U/S) 5-MHz linear transducer in both longitudinal and transverse orientation, combined with Color Doppler Ultrasonography (CDUS) was done. Results: Out of 58 patients, males were 32 and females were 26. The clinical features were abdominal pain in 58, vomiting in 12, distended abdomen in 25, rebound tenderness in 21, nausea in 19 and fever in 23 patients. The difference was significant (P< 0.05). The location of pain was epigastricin 8, hypogastric in 22, right lumbarin 5, left lumbar in 4, umbilical in 6, right hypochondrium in 7 and left hypochondrium in 6 cases. The difference was significant (P< 0.05). The sensitivity of UG in diagnosis for hemorrhagic cyst was 92%, ovarian torsion98%, appendicular mass97%, appendicitis94% and renal stone100%. Conclusion: When it comes to diagnosing and differentiating between various surgical causes of acute abdominal pain, USG is a very effective imaging method.