TITLE:
Management of Non-Traumatic Acute Abdominal Pain in Children: The Couple Standard Radiography/Ultrasound, Is It Still Relevant?
AUTHORS:
Atafy Gaudens Dieth, N’goran Kouamé, Abdoulramane Soumma, Fotso Sorel Manewa, Anne-Marie Ngoan-Domoua, Roger Daniel Ngbesso
KEYWORDS:
Acute Nontraumatic Abdominal Pain, Ultrasound, Standard Radiography, Pediatric Surgery, Child Abdominal Pain, Saharan Africa
JOURNAL NAME:
Open Access Library Journal,
Vol.3 No.3,
March
9,
2016
ABSTRACT: Objective: To evaluate the contribution of
the standard radiography-ultrasound couple in the assessment of nontraumatic
acute abdominal pain in children. Patient and Method: A retrospective study was carried out on a period of 2 years in the
departments of radiology and pediatric surgery at the university hospital of
Yopougon (Abidjan, Ivory Coast). It concerned 93 children hospitalized with
acute nontraumatic abdominal pain in whom it was performed a laparotomy after a
radiological diagnosis. Results: The mean age was 6.8 years old and the sex ratio was 1.5. The diffuse
abdominal pain was the most common ground for admission (43.3%) and abdominal
ultrasonography was the most
requested examination (51.6%). The
objectified etiologies were respectively appendicitis (32.2%), peritonitis
(27.9%), the acute intussusception (13.9%), occlusion (12.9%), hypertrophic stenosis
pylorus (7.5%), cholecystitis (3.2%) and the mesenteric adenolymphitis (3.2%).
The positive predictive value of radiological findings was greater than 85%.
Conclusion: The standard radiography-ultrasound couple remains essential in the
treatment of nontraumatic abdominal pain of the child with a positive
predictive value of 85%.