Pattern of Abdominal Masses and Evaluation of the Accuracy of Ultrasound in Pediatric Abdominal Masses
Background: Pediatric abdominal masses encompass a range of diverse lesions, originating from various sources and carrying varying degrees of importance. Nevertheless, ultrasound has emerged as the preferred diagnostic tool for assessing these conditions. Objective: To determine the pattern of abdominal masses and evaluation of the accuracy of ultrasound in pediatric abdominal masses. Study Design: Cross-sectional study. Settings: This study was conducted at the Department of Radiology, Services Hospital, Lahore Pakistan. Duration: From August 2022 to February 2023. Methods: This study enrolled 182 pediatric patients who exhibited suspected abdominal masses. The data were analyzed using SPSS version 22 software, with the significance level set at P < 0.05. Results: Mean age of the study population was 6.45 ± 4.71years. There were 107 (58.79%) were male, while 75 (41.20%) were female. The most common sign or symptom at presentation was "Abdominal Swelling," which was observed in 160 cases, accounting for 97.0% of the cases. "Abdominal Pain" was reported in 52 cases (31.5%), "Weight Loss" in 48 cases (29.1%), "Fever" in 30 cases (18.2%), "Vomiting" in 4 cases (2.4%), "Hematuria" in 8 cases (4.8%), and "Others" in 23 cases (13.9%). Frequency of abdominal masses was 154(84.6%). "Tumors" were identified in 53.2% of the cases while "Organomegaly" was observed in 46.66% cases. The most common was Wilms tumor (24.18%) and Hepatomegaly (22.53%). Ultrasound showed sensitivity (93.55%), specificity (56.67%), overall accuracy was 89.92%, making it generally reliable in predictions. Conclusion: Ultrasonography is a dependable and sensitive tool for diagnosing abdominal masses, with a sensitivity of 93.55% and septicity 56.67% significantly enhancing our diagnostic capabilities. Ultrasonography stands as both a highly sensitive and dependable diagnostic method, known for its simplicity, cost-effectiveness, and widespread availability.