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Diagnostic value of high-resolution ultrasound combined with multi-slice computer tomography (MSCT) for pediatric intra-abdominal hernias: a retrospective study.
Hua, Lichun; Huang, Yaqing; Liu, Hui; Chen, Jun; Tang, Ying.
Afiliación
  • Hua L; Department of Ultrasound, Children's Hospital of Nanjing Medical University, No. 88, Jiangdong East Road, Jianye District, Nanjing, Jiangsu, P.R. China.
  • Huang Y; Department of Radiology, Children's Hospital of Nanjing Medical University, No. 88, Jiangdong East Road, Jianye District, Nanjing, Jiangsu, P.R. China.
  • Liu H; Department of Ultrasound, Children's Hospital of Nanjing Medical University, No. 88, Jiangdong East Road, Jianye District, Nanjing, Jiangsu, P.R. China.
  • Chen J; Department of Ultrasound, Children's Hospital of Nanjing Medical University, No. 88, Jiangdong East Road, Jianye District, Nanjing, Jiangsu, P.R. China.
  • Tang Y; Department of Ultrasound, Children's Hospital of Nanjing Medical University, No. 88, Jiangdong East Road, Jianye District, Nanjing, Jiangsu, P.R. China. tangying2377@163.com.
BMC Surg ; 24(1): 190, 2024 Jun 17.
Article en En | MEDLINE | ID: mdl-38886699
ABSTRACT

INTRODUCTION:

To explore the diagnostic value of high-resolution ultrasound combined with multi-slice computer tomography (MSCT) for pediatric intra-abdominal hernias (IAHs), and to analyze the potential causes for missed diagnosis and misdiagnosis of IAHs in children.

METHODS:

A retrospective analysis was conducted on 45 children with surgically confirmed IAHs. The diagnostic rate of IAHs by preoperative high-resolution ultrasound combined with MSCT was compared with that of intraoperative examination, and the potential causes for missed diagnosis and misdiagnosis by the combination method were analyzed.

RESULTS:

Forty-five cases of pediatric IAHs were categorized into primary (25/45, 55.5%) and acquired secondary hernias (20/45, 44.5%). Among children with primary hernias, mesenteric defects were identified as the predominant subtype (40%). Acquired secondary hernias typically resulted from abnormal openings in the abdominal wall or band adhesions due to trauma, surgery, or inflammation. In particular, adhesive band hernias were the major type in children with acquired secondary hernias (40%). The diagnostic rate of high-resolution ultrasound was 77.8%, with "cross sign" as a characteristic ultrasonic feature. Among 10 cases of missed diagnosis or misdiagnosis, 5 were finally diagnosed as IAHs by multi-slice computer tomography (MSCT). Overall, the diagnostic rate of pediatric IAHs by preoperative ultrasound combined with radiological imaging reached 88.9%.

DISCUSSION:

IAHs in children, particularly mesenteric defects, are prone to strangulated intestinal obstruction and necrosis. High-resolution ultrasound combined with MSCT greatly enhances the diagnostic accuracy of pediatric IAHs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ultrasonografía / Hernia Abdominal / Tomografía Computarizada Multidetector Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: BMC Surg Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ultrasonografía / Hernia Abdominal / Tomografía Computarizada Multidetector Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: BMC Surg Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido