2026 Volume 53 Issue 1 Pages 31-36
As a pediatric surgeon, I am interested in the following when I read the reports of sonography performed on patients with abdominal pain. First, congenital abnormalities that cause abdominal pain in the abdominal organs, second, abnormalities that cause abdominal pain in the intestinal tract, third, abnormalities that require urgent intervention, and finally, it is information for inferring surgical findings. To get information about these, I usually do a screening of the abdomen first, followed by a screening of the gastrointestinal tract and an ultrasound that focuses on abnormalities that may be causing abdominal pain. In addition, if it is appendicitis, the presence of perforation and the presence of gangrenous changes in the wall are evaluated. This is what should be written in the usual ultrasound examination report for diagnosis. In addition to this, as a pediatric surgeon, I need the following information to predict surgical findings: the information needed before surgery is the location of the appendix, adhesions in the surrounding intestinal tract and omentum, the location of the abscess, and the presence of inflammation at the root of the appendix. We believe that providing information that exceeds the expectations of clinical practice, such as information useful for surgery, will lead to the dissemination of the usefulness of ultrasound.