TY - JOUR
T1 - Imaging of Right Lower Quadrant Pain in Children and Adolescents
T2 - AJR Expert Panel Narrative Review
AU - Desoky, Sarah M.
AU - George, Michael
AU - Epelman, Monica
AU - Frush, Donald P.
AU - Gourlay, David M.
AU - Moore, Michael M.
AU - Schooler, Gary R.
AU - Towbin, Alexander J.
AU - Udayasankar, Unni
AU - Zukowski, Melissa
AU - Callahan, Michael J.
N1 - Publisher Copyright:
© 2023 American Roentgen Ray Society.
PY - 2023/6
Y1 - 2023/6
N2 - Right lower quadrant (RLQ) pain is a common clinical presentation in children, and accurate clinical diagnosis remains challenging given that this nonspecific presentation is associated with numerous surgical and nonsurgical conditions. The broad differential diagnosis varies by patient age and sex. Important considerations in the selection of a diagnostic imaging strategy include the sequencing, performance, and cost of tests. This article provides a comprehensive narrative review of the diagnostic imaging of RLQ pain in children and adolescents, including a discussion of the complementary roles of ultrasound, CT, and MRI; description of key imaging findings based on available evidence; and presentation of salient differential diagnoses. Subspecialized pediatric emergency medicine and surgical perspectives are also provided as further clinical insight into this common, but often challenging, scenario. Finally, the current status of imaging of RLQ pain in children and adolescents is summarized on the basis of expert consensus.
AB - Right lower quadrant (RLQ) pain is a common clinical presentation in children, and accurate clinical diagnosis remains challenging given that this nonspecific presentation is associated with numerous surgical and nonsurgical conditions. The broad differential diagnosis varies by patient age and sex. Important considerations in the selection of a diagnostic imaging strategy include the sequencing, performance, and cost of tests. This article provides a comprehensive narrative review of the diagnostic imaging of RLQ pain in children and adolescents, including a discussion of the complementary roles of ultrasound, CT, and MRI; description of key imaging findings based on available evidence; and presentation of salient differential diagnoses. Subspecialized pediatric emergency medicine and surgical perspectives are also provided as further clinical insight into this common, but often challenging, scenario. Finally, the current status of imaging of RLQ pain in children and adolescents is summarized on the basis of expert consensus.
KW - acute appendicitis
KW - ovarian torsion
KW - pediatric abdominal imaging
KW - pediatric abdominal pain
KW - pediatric right lower quadrant pain
UR - http://www.scopus.com/inward/record.url?scp=85160204894&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85160204894&partnerID=8YFLogxK
U2 - 10.2214/AJR.22.28358
DO - 10.2214/AJR.22.28358
M3 - Article
C2 - 36416395
AN - SCOPUS:85160204894
SN - 0361-803X
VL - 220
SP - 767
EP - 779
JO - American Journal of Roentgenology
JF - American Journal of Roentgenology
IS - 6
ER -