Abstract
From 1976 to 1980, 482 consecutive patients with the clinical suspicion of an abdominal mass were evaluated with US, 119 (25%) had no mass or an anatomic variant felt as a mass; 363 with a mass are displayed below as to area and type of mass.
Based on the data and results of other radiographic studies, an approach to the diagnosis was developed. Plain abdominal radiograph followed by intravenous urography (IVU) is appropriate when a mass is thought to be retroperitoneal in origin. If a tumor is diagnosed on the radiographs, US is used in its characterization and staging, A pelvic mass, if of gynecologic origin, is evaluated primarily with ultrasound. In young children and adolescent boys with a pelvic mass, US is coordinated with IVU. If the mass is anterior or associated with gastrointestinal bleeding or obstruction, plain radiographs followed by US and studies with barium are appropriate. An hepatic mass is evaluated with plain radiographs, US and, if necessary, nuclear scans and angiography.
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Teele, R., Hencshke, C. 695 ULTRASOUND (US) IN THE EVALUATION OF AN ABDOMINAL MASS. Pediatr Res 15 (Suppl 4), 558 (1981). https://doi.org/10.1203/00006450-198104001-00718
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DOI: https://doi.org/10.1203/00006450-198104001-00718