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Clinical Pediatrics, Vol. 32, No. 3, 147-150 (1993)
DOI: 10.1177/000992289303200304

Use of Abdominal and Pelvic Ultrasound in The Evaluation of Chronic Abdominal Pain

Rosemary E. Schmidt, M.D.

University of Cincinnati College of Medicine Children's Hospital Medical Center Cincinnati, Ohio

Diane S. Babcock, M.D.

University of Cincinnati College of Medicine Children's Hospital Medical Center Cincinnati, Ohio

Michael K. Farrell, M.D.

University of Cincinnati College of Medicine Children's Hospital Medical Center Cincinnati, Ohio

The value of sonography in assessing chronic abdominal pain (CAP) in children, the characteristics of CAP, and the local pediatrician's practice in evaluating CAP are reported. Fifty-seven patients with CAP had abdominal and/or pelvic sonography; 56 were normal. One sonogram showed an ovarian cyst on the side opposite the CAP; the cyst later resolved. Pain was usually localized in the periumbilical area (56%). Follow-up data were obtained from referring physicians and patients' medical records. No serious diagnosis related to CAP was missed. After six months, CAP had resolved in 43% of patients. Of the responding physicians, 61 % indicated they would have used more and costlier contrast studies if ultrasonography had been unavailable.


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