Articles
| Open Access |
https://doi.org/10.37547/ajbspi/Volume05Issue11-09
Diagnostic Capabilities Of Comprehensive Ultrasound Examination In Adhesive Intestinal Obstruction In Children
Abstract
Comprehensive ultrasound examination is a highly informative, safe, and dynamic method for diagnosing adhesive small bowel obstruction (ASBO) in children. The study included 60 patients aged 1 month to 17 years. Key sonographic signs included bowel loop dilation >25 mm (80%), absent or bidirectional peristalsis (66%), bowel wall thickening >3 mm (58%), the “keyboard sign” (52%), and free fluid (45%). Ultrasound demonstrated 90% sensitivity and 85% specificity, outperforming plain radiography. Conservative treatment was effective in 50% of cases, while the remaining 50% required surgery. The findings highlight the crucial role of comprehensive ultrasound in early diagnosis and management decision-making in pediatric ASBO.
Keywords
Ultrasound diagnostics, adhesive bowel obstruction, children, Doppler
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