Difference between revisions of "Ultrasonography of the abdomen and pelvis"
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==General screening== | ==General screening== | ||
+ | ===Upper abdomen=== | ||
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. | ||
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Also, it is generally easy to have a quick glance at the kidneys just to exclude hydronephrosis. <br>''In case of suspected pathology, see: [[Ultrasonography of the urinary system]]'' | Also, it is generally easy to have a quick glance at the kidneys just to exclude hydronephrosis. <br>''In case of suspected pathology, see: [[Ultrasonography of the urinary system]]'' | ||
+ | ;Report | ||
+ | Gallbladder with thin wall and no gallstones. Normal width of the intra-and extrahepatic bile ducts. | ||
+ | <br>Liver with normal echogenicity and no focal lesions. | ||
+ | <br>Normal head and body of the pancreas. | ||
+ | <br>Normal sized spleen. | ||
+ | |||
+ | ===Lower abdomen=== | ||
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 13:50, 17 December 2018
Author:
Mikael Häggström [notes 1]
Contents
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
Upper abdomen
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.
In case of 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] Further information: Basic screening of the biliary tract.
- Spleen, mainly for size, where 11 cm is a common cutoff.
In case of suspected pathology, see: Ultrasonography of the spleen
Also, it is generally easy to have a quick glance at the kidneys just to exclude hydronephrosis.
In case of suspected pathology, see: Ultrasonography of the urinary system
- Report
Gallbladder with thin wall and no gallstones. Normal width of the intra-and extrahepatic bile ducts.
Liver with normal echogenicity and no focal lesions.
Normal head and body of the pancreas.
Normal sized spleen.
Lower abdomen
Ultrasonographies of the lower abdomen can generally be focused on the condition requested in the referral.
Diseases and conditions
Biliary tract
Appendicitis
Aneurysm
Cirrhosis
Notes
- ↑ 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
- ↑ 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: . ISSN 0271-5333.