ARRS 2022 Abstracts

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E1213. Help! What is the Best Study to Order: A Review of Pediatric Gastrointestinal Emergencies and Imaging Modalities
Authors
  1. Sara Azeem; Morristown Medical Center
  2. Robyn Murphy; Morristown Medical Center
Background
Gastrointestinal (GI) complaints are one of the most frequent reasons for emergency department visits in the pediatric population. In many cases the clinical picture can be obscured or confusing in children. Imaging is a vital component in the diagnostic workup of children presenting with GI symptoms. Radiologists play a key role in defining the clinical picture and guiding the physician to the most appropriate imaging modality.

Educational Goals / Teaching Points
This exhibit aims to identify key findings for the diagnosis or exclusion of pediatric GI emergencies; highlight imaging modalities commonly used in the assessment of pediatric GI disease; and review the most common GI pathologies the pediatric population presents with to the emergency department.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Key points in this exhibit include: malrotation and midgut volvulus; intussusception; hypertrophic pyloric stenosis; appendicitis; foreign bodies; duodenal trauma; pancreatic trauma; mesenteric adenitis; Meckel diverticulum; inflammatory bowel disease; Hirschsprung disease; and necrotizing enterocolitis.

Conclusion
Imaging is an important tool in the evaluation of pediatric GI emergencies. Knowledge of the most appropriate imaging modalities is important in reducing unnecessary radiation and aiding in the diagnosis and management of the pediatric population.