Images and videos

Images

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
1

Assessment of abdominal pain in children

Necrotic appendix

From the collection of Dr KuoJen Tsao; used with permission

2

Assessment of abdominal pain in children

CT scan demonstrating faecalith (white arrow) outside the lumen of the appendix consistent with perforated appendix

From the collection of Dr KuoJen Tsao; used with permission

3

Assessment of abdominal pain in children

Intussusception: blood vessels become trapped between layers of intestine, leading to reduced blood supply, oedema, strangulation of bowel, and gangrene. Sepsis, shock, and death may eventually occur

Created by the BMJ Knowedge Centre

4

Assessment of abdominal pain in children

Intraoperative photo of Meckel's diverticulum

From the collection of Dr Kuojen Tsao; used with permission

5

Assessment of abdominal pain in children

Abdominal x-ray of a neonate with abnormal stooling pattern and constipation. The dilated transverse and descending colon is suggestive of Hirschsprung's disease

From the collection of Dr KuoJen Tsao; used with permission

6

Assessment of abdominal pain in children

Abdominal x-ray demonstrating double bubble gas pattern consistent with duodenal atresia

From the collection of Dr KuoJen Tsao; used with permission

7

Assessment of abdominal pain in children

Infant with right groin bulge consistent with incarcerated inguinal hernia. The lack of overlying skin oedema and erythema does not rule out strangulation of the small intestine

From the collection of Dr KuoJen Tsao; used with permission

8

Assessment of abdominal pain in children

Gallbladder ultrasound demonstrating cholelithiasis with characteristic shadowing

From the collection of Dr KuoJen Tsao; used with permission

9

Assessment of abdominal pain in children

Abdominal x-ray with opacities in the RUQ consistent with gallstones

From the collection of Dr KuoJen Tsao; used with permission

10

Assessment of abdominal pain in children

CT scan of teenage girl presenting with mid-epigastric abdominal pain as a result of gallstone pancreatitis. The large fluid collection in the pancreatic bed (white arrow) and lack of pancreatic enhancement suggest liquefactive necrosis of the pancreas

From the collection of Dr Kuojen Tsao; used with permission

11

Assessment of abdominal pain in children

CT scan demonstrating fluid-filled cyst within the spleen

From the collection of Dr KuoJen Tsao; used with permission

12

Assessment of abdominal pain in children

Intraoperative photo of large splenic cyst

From the collection of Dr KuoJen Tsao; used with permission

13

Assessment of abdominal pain in children

Young boy with right testicular pain. The testicle is swollen, tender, and erythematous as a result of torsion of the appendix testes. The clinical signs and symptoms mimic those of testicular torsion

From the collection of Dr KuoJen Tsao; used with permission

14

Assessment of abdominal pain in children

Infant boy with swollen, tender, and erythematous left testicle. The testicle is retracted consistent with testicular torsion

From the collection of Dr KuoJen Tsao; used with permission

15

Assessment of abdominal pain in children

Torsion of an appendix testis resulting in acute infarction

From the collection of Dr KuoJen Tsao; used with permission

16

Assessment of abdominal pain in children

Intraoperative photo of ovarian mass that presented as ovarian torsion

From the collection of Dr KuoJen Tsao; used with permission

17

Assessment of abdominal pain in children

CT scan of a young girl presenting with ovarian torsion. The large pelvic cystic lesion contains calcifications (white arrow) consistent with a teratoma or dermoid cyst

From the collection of Dr KuoJen Tsao; used with permission

18

Assessment of abdominal pain in children

CT scan demonstrating intra-abdominal abscess consistent with perforated appendix

From the collection of Dr KuoJen Tsao; used with permission

19

Assessment of abdominal pain in children

Upper GI contrast study demonstrating malrotation with volvulus. The duodenum fails to develop the normal anatomical C-loop. There is failure of contrast to pass, resulting in a characteristic bird beak consistent with acute mid-gut volvulus

From the collection of Dr KuoJen Tsao; used with permission

20

Assessment of abdominal pain in children

Abdominal x-ray of a young boy with acute, severe abdominal pain, demonstrating stool throughout the colon and rectum

From the collection of Dr KuoJen Tsao; used with permission

21

Assessment of abdominal pain in children

Contrast enema demonstrating ileocolic intussusception (black arrow)

From the collection of Dr KuoJen Tsao; used with permission

Use of this content is subject to our disclaimer