Role of Computed Tomography Imaging in Pediatric Abdominal Masses

Abstract

Introduction: Abdominal masses are commonly encountered in the pediatric population, with a broad differential diagnosis that encompasses benign and malignant entities. The main goal of abdominal imaging in the context of a suspected pediatric abdominal mass is to confirm its presence, as nonneoplastic entities can mimic an abdominal mass, and to detect specific imaging findings that narrow the differential diagnosis.  Computed Tomography (CT) is currently the most powerful and versatile imaging procedure for the evaluation of abdominal masses It plays an important role in characterizing the mass and extent of disease and assisting in presurgical planning [1]. Aim: The purpose of this article is to describe the role of CT imaging in evaluation of pediatric abdominal masses. Materials and Methods: Five case reports of abdominal masses in pediatric age group have been discussed. All the five patients underwent CT scan on Philips brilliance 256 slice machine. CT imaging findings with their histopathological diagnosis have been described. Case Summary: Case 1 :Wilm’s tumor Case 2 : Rhabdomyosarcoma Case 3 : Ewing’s sarcoma of sacrum Case 4 : Germ cell tumor of ovary Case 5 : Pelvic myxoid chondrosarcoma Conclusion: Abdominal masses in the pediatric age group include a spectrum of lesions of diverse origin and significance. CT imaging plays a key role in defining the characteristics and extent of mass lesions found in infants and children. Imaging with histopathological correlation can be very helpful in the management of the patient.