Difference between revisions of "Ultrasonography of the abdomen and pelvis"

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(→‎General screening: If suspected pathology, see:)
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For symptoms of the upper abdomen, it is a proper custom to perform a general screening of the following organs:
 
For symptoms of the upper abdomen, it is a proper custom to perform a general screening of the following organs:
 
*'''Pancreas''', mainly for dilatation of the pancreatic duct, or obvious tumors.
 
*'''Pancreas''', mainly for dilatation of the pancreatic duct, or obvious tumors.
*'''Liver''', for echogenicity and focal changes. ''Further details: [[Ultrasonography of the liver]]''
+
*'''Liver''', for echogenicity and focal changes. ''If suspected pathology, see: [[Ultrasonography of the liver]]''
 
*'''Biliary tract''', for gallstones (see [[ultrasonography of gallstones]]) and dilatation of the intrahepatic or extrahepatic bile ducts. The common bile duct is normally up to 8 mm.<ref name="HoeffelAzizi2006">{{cite journal|last1=Hoeffel|first1=Christine|last2=Azizi|first2=Louisa|last3=Lewin|first3=Maité|last4=Laurent|first4=Valérie|last5=Aubé|first5=Christophe|last6=Arrivé|first6=Lionel|last7=Tubiana|first7=Jean-Michel|title=Normal and Pathologic Features of the Postoperative Biliary Tract at 3D MR Cholangiopancreatography and MR Imaging|journal=RadioGraphics|volume=26|issue=6|year=2006|pages=1603–1620|issn=0271-5333|doi=10.1148/rg.266055730}}</ref>
 
*'''Biliary tract''', for gallstones (see [[ultrasonography of gallstones]]) and dilatation of the intrahepatic or extrahepatic bile ducts. The common bile duct is normally up to 8 mm.<ref name="HoeffelAzizi2006">{{cite journal|last1=Hoeffel|first1=Christine|last2=Azizi|first2=Louisa|last3=Lewin|first3=Maité|last4=Laurent|first4=Valérie|last5=Aubé|first5=Christophe|last6=Arrivé|first6=Lionel|last7=Tubiana|first7=Jean-Michel|title=Normal and Pathologic Features of the Postoperative Biliary Tract at 3D MR Cholangiopancreatography and MR Imaging|journal=RadioGraphics|volume=26|issue=6|year=2006|pages=1603–1620|issn=0271-5333|doi=10.1148/rg.266055730}}</ref>
*'''Spleen''', mainly for size, where 11 cm is a common cutoff. ''Further details: [[Ultrasonography of the spleen]]''
+
*'''Spleen''', mainly for size, where 11 cm is a common cutoff. ''If suspected pathology, see: [[Ultrasonography of the spleen]]''
Also, it is generally easy to have a quick glance at the kidneys just to exclude hydronephrosis. ''Further details: [[Ultrasonography of the urinary system]]''
+
Also, it is generally easy to have a quick glance at the kidneys just to exclude hydronephrosis. ''If suspected pathology, see: [[Ultrasonography of the urinary system]]''
  
 
Ultrasonographies of the lower abdomen can generally be focused on the condition requested in the referral.
 
Ultrasonographies of the lower abdomen can generally be focused on the condition requested in the referral.

Revision as of 15:38, 6 December 2018

Author: Mikael Häggström [notes 1]

Planning

Choice of exam

For patients presenting with symptoms that are less specific for any certain organ, such as unspecific acute abdominal pain, consider an abdominal/pelvic CT instead.

Locations

General screening

For symptoms of the upper abdomen, it is a proper custom to perform a general screening of the following organs:

  • Pancreas, mainly for dilatation of the pancreatic duct, or obvious tumors.
  • Liver, for echogenicity and focal changes. If suspected pathology, see: Ultrasonography of the liver
  • Biliary tract, for gallstones (see ultrasonography of gallstones) and dilatation of the intrahepatic or extrahepatic bile ducts. The common bile duct is normally up to 8 mm.[1]
  • Spleen, mainly for size, where 11 cm is a common cutoff. If suspected pathology, see: Ultrasonography of the spleen

Also, it is generally easy to have a quick glance at the kidneys just to exclude hydronephrosis. If suspected pathology, see: Ultrasonography of the urinary system

Ultrasonographies of the lower abdomen can generally be focused on the condition requested in the referral.

Diseases and conditions

Appendicitis

Aneurysm

Cirrhosis

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. Hoeffel, Christine; Azizi, Louisa; Lewin, Maité; Laurent, Valérie; Aubé, Christophe; Arrivé, Lionel; Tubiana, Jean-Michel (2006). "Normal and Pathologic Features of the Postoperative Biliary Tract at 3D MR Cholangiopancreatography and MR Imaging ". RadioGraphics 26 (6): 1603–1620. doi:10.1148/rg.266055730. ISSN 0271-5333.