The Virtual Hospital: Pediatric Abdominal Imaging

The Virtual Hospital

Imaging a Child With an Abdominal Mass

Prepared by Simon C. S. Kao, M.D.
Pediatric Radiologist
University of Iowa College of Medicine


Radiologic evaluation of an infant or child suspected of having an abdominal mass includes (a) demonstrating the presence or absence of a mass, and if present, the extent of the mass, (b) giving a specific pathologic diagnosis, when possible, based on the imaging characteristics, and (c) showing tumor spread. Although the possible etiologies are numerous (see below for reference), the radiologic data, combined with the age of the child and clinical information, will usually allow a specific diagnosis or a very limited differential list. It is important to note that not all abdominal masses are clinically palpable, and not all abdominal masses need to be imaged (e.g. splenomegaly associated with a viral illness or leukemia, unless specific etiology, such as a Candida abscess, is sought).


Table of Contents

Disease Based On Age:

  • Etiology of Neonates (birth to 1 month)
  • Infants and Children (1 month to 18 years)

    Pediatric Imaging Modalities

  • Algorithmic Approach To Pediatric Abdominal Mass:

  • Neonatal:
    Abdominal X-Ray
    Renal
    Non Renal
    GI
    Genital

     

  • Child:
    Abdominal X-Ray
    Renal
    Non Renal
    GI
    Genital
  • Pediatric Abdominal Mass Case Examples:

    Case 1
    Case 2
    Case 3
    Case 4
    Case 5
    Case 6
    Case 7
    Case 8
    Case 9
    Case 10

    Unknowns:

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    Last Modified: March 04, 1997