Abdominal ultrasonography of the pediatric gastrointestinal tract

Figure 3 Acquired bowel disorders. A: Ileocolic intussusception with Meckel diverticulum as lead point. Six-month-old with small bowel obstruction on radiograph (not shown) and intussusception (arrow) demonstrated on ultrasound with lead point (arrowheads); B: Incarcerated inguinal hernia. Two-year-old boy with abdominal pain and left groin mass. Sagittal image of the left inguinal region show a cystic structure that did not clearly communicate with abdominal bowel loops (B, arrows; T = testicle). Testicular edema was also noted (not shown); C, D: Duodenal hematoma secondary to child abuse. One-year-old with abdominal pain and distension. Sagittal midline ultrasound image shows a complex mass in the expected location of the duodenum (C, arrowheads). Upper gastrointestinal series confirmed duodenal narrowing (D, arrows). Abuse was later confirmed.