Imaging of Right Lower Quadrant Pain in Children and Adolescents: AJR Expert Panel Narrative Review.
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.
Duke Scholars
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Related Subject Headings
- Ultrasonography
- Nuclear Medicine & Medical Imaging
- Magnetic Resonance Imaging
- Humans
- Diagnosis, Differential
- Child
- Appendicitis
- Adolescent
- Abdominal Pain
- 3202 Clinical sciences
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Ultrasonography
- Nuclear Medicine & Medical Imaging
- Magnetic Resonance Imaging
- Humans
- Diagnosis, Differential
- Child
- Appendicitis
- Adolescent
- Abdominal Pain
- 3202 Clinical sciences