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ABSTRACT
Background: Abdominal pain is common in children that can manifest
as acute or chronic. In some cases, are requires immediate
management. The most difficult challenge is to make diagnosis to
identify the cause.
Objective: This study is aimed to demonstrate the evidence of the use
of abdominal ultrasonography (AUS) to determine the cause of pain in
relation to surgical decision.
Methods: Patients with acute abdominal pain were referred for AUS.
Prospective cross- sectional method was done in 268 children aged 5
to 15 years old, in which 116 of them are male. Patients who did not
require surgery and outpatients were asked to make a response
whether the improvement during and after the treatment. Patient who
were required surgical, will be confirmed by histopathology.
Results: No abnormalities (53.73%). The abnormal findings were:
enterocolitis (13.43%), mesenteric adenitis (12.68%), constipation
(6.72%), appendicitis (6.34%), cystitis (5.97%), adrenal tumor (0.07%)
and intussusception (0.04%). Findings shows, the use of AUS to deter
mine the cause were able to reduce surgical decision from 27.98% to
7.46%. Thus, ultrasonography changed the management plan in
20.52%of patients.
Conclusion: The AUS is useful for evaluation abdominal pain in
children. An accurate diagnosis is important to prevent unnecessary
surgery.
Keywords: Abdominal Ultrasound, Acute Abdominal Pain, Children.
Correspondence:
Herlina Uinarni
Department of Anatomy, School of Medicine and Health Sciences,
Atma Jaya Chatolic University of Indonesia
Department of Radiology, Pantai Indah Kapuk Hospital, Jakarta,
Indonesia
E-mail: herlina.uinarni@atmajaya.ac.id
DOI: 10.31838/srp.2020.4.56
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