Abstract

A Cross Sectional Study on Imaging of Paediatric Intra-Abdominal Cystic Lesions

Author(s): Sreelaxmi Aitipamula1, Veena Madireddy2, Vijaya Kumari Mudunoor3, Baranitharan S.4

2562, eISSN - 2349-2570 / Vol. 8 / Issue 03 / Jan. 18, 2021 Page 157
A Cross Sectional Study on Imaging of
Paediatric Intra-Abdominal Cystic Lesions
Sreelaxmi Aitipamula1, Veena Madireddy2, Vijaya Kumari Mudunoor3, Baranitharan S.4
1, 2, 3, 4 Department of Radiodiagnosis, Osmania Medical College, Hyderabad, Telangana, India.
ABSTRACT
BACKGROUND
Abdominal cystic lesions are not so uncommon in the paediatric age group.
Ultrasonography (USG) is the initial investigation of choice for detection of lesions.
Computed tomography (CT) and magnetic resonance imaging (MRI) further
compliment the findings of USG and help in the final diagnosis of various
abdominal lesions in this age group. Because of the overlap in imaging features,
histologic analysis is usually necessary to establish a diagnosis. The major role of
the radiologist is to document the cystic nature of these abdominal masses and to
determine the origin. Our aim was to study the incidence of cystic abdominal
lesions in the paediatric age group and role of imaging in the diagnosis of various
types of cystic lesions.
METHODS
This is a cross sectional study of 60 children who have been referred to radiology
department with abdominal symptoms, over a period of 18 months (from April
2018 to September 2019) in Niloufer hospital, Hyderabad. Children suspected to
have abdominal lesions have been referred to radiology department. USG is the
initial investigation done and further CT / MRI has been done according to the
findings on USG. Paediatric patients of age day 1 to 12 years, both male and
female suspected to have abdominal cystic lesions either clinically or sonologically
have been included in the study. Retroperitoneal lesions are excluded from study.
RESULTS
Out of the 60 patients studied, 44 patients were females and the rest were males.
The most affected age group was between 0 - 1 year which constituted to 50
percent of the total cases studied. The most common pathologies are ovarian cyst
and duplication cyst which constituted about 49 % of the cases. Statistical
significance has been observed between the gender and incidence of cystic
lesions.
CONCLUSIONS
Imaging plays a key role in the evaluation of various types of cystic lesions in the
paediatric age group and arrive at a particular diagnosis based on specific imaging
features. The radiologist must consider patient age, clinical parameters and
imaging findings to formulate the likely diagnosis of cystic lesions. USG being cost
effective, widely available and with no risk of radiation has been chosen as the
first modality for investigation.