Management of Non-Traumatic Acute Abdominal Pain in Children: The Couple Standard Radiography-Ultrasound, Is It Still RelevantReport as inadecuate




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Objective: To evaluate the contribution ofthe standard radiography-ultrasound couple in the assessment of nontraumaticacute abdominal pain in children. Patient and Method: A retrospective study was carried out on a period of 2 years in thedepartments of radiology and pediatric surgery at the university hospital ofYopougon Abidjan, Ivory Coast. It concerned 93 children hospitalized withacute nontraumatic abdominal pain in whom it was performed a laparotomy after aradiological diagnosis. Results: The mean age was 6.8 years old and the sex ratio was 1.5. The diffuseabdominal pain was the most common ground for admission 43.3% and abdominalultrasonography was the mostrequested examination 51.6%. Theobjectified etiologies were respectively appendicitis 32.2%, peritonitis27.9%, the acute intussusception 13.9%, occlusion 12.9%, hypertrophic stenosispylorus 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 thetreatment of nontraumatic abdominal pain of the child with a positivepredictive value of 85%.

KEYWORDS

Acute Nontraumatic Abdominal Pain, Ultrasound, Standard Radiography, Pediatric Surgery, Child Abdominal Pain, Saharan Africa

Cite this paper

Dieth, A. , Kouamé, N. , Soumma, A. , Manewa, F. , Ngoan-Domoua, A. and Ngbesso, R. 2016 Management of Non-Traumatic Acute Abdominal Pain in Children: The Couple Standard Radiography-Ultrasound, Is It Still Relevant?. Open Access Library Journal, 3, 1-5. doi: 10.4236-oalib.1102084.





Author: Atafy Gaudens Dieth1, N’goran Kouamé2*, Abdoulramane Soumma2, Fotso Sorel Manewa2, Anne-Marie Ngoan-Domoua2, Roger Daniel Ngbe

Source: http://www.scirp.org/



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