Pediatric Imaging for the Emergency Provider

Belly getting bigger? Wilms tumor

Case presentation A 14-month-old female is referred from her primary care pediatrician for increasing abdominal girth and an abdominal mass. For the past month, the child’s abdomen has been increasing in size, as noted by her parents. There has been…

All pain and no gain: Renal stones

Case presentation An 11-year-old male presents with acute onset of left-sided lower abdominal pain and left-sided flank pain, which began 1–2 hours prior to presentation. The patient was not engaged in any particular activity; he states that he was “just…

Unusually painful: Ovarian torsion

Case presentation A 13-year-old female presents with acute onset of right lower quadrant pain for the past 4 hours. She states that she has been in her usual, normal state of health and was “just walking down the street” when…

That looks painful: Hydrocele

Case presentation A 4-month-old male presents with bilateral scrotal swelling. Per the mother, this has been present since 1 month of age but has worsened over the past week and she has noted that the right side of the scrotum…

Twists and turns: Testicular torsion

Case presentation A 15-year-old male presents with left scrotal pain and swelling for the past 5 hours. He states that he was jumping on a trampoline just prior to presentation and afterward, he experienced his symptoms. He denies genital trauma.…

Right out of ‘the exorcist’: Pyloric stenosis

Case presentation A 3-week-old male presents with nonbilious, nonbloody emesis for the past 1.5 weeks. Initially there were two to three episodes per day, occasionally with feeding, but this has increased to emesis with every feed. The parents report that…

You ate what? Swallowed foreign bodies

Case presentation A 4-year-old male presents to the emergency department after his parents witnessed the ingestion of a coin. His mother states that he grabbed one out of her purse that was lying on the ground nearby. The patient is…

It’s not in to be thin: SMA syndrome

Case presentation A 14-year-old male is brought to the emergency department with severe diffuse abdominal pain. He has had multiple episodes of nonbloody but bilious emesis accompanying the pain. There has been no fever, diarrhea, or trauma. There are no…

My tummy! Appendicitis

Case presentation A 10-year-old male presents with 2 days of initially intermittent, now constant, abdominal pain. He states that the pain started on the right side of his abdomen and was crampy in quality, although now has become more sharp.…

Screaming fits: Intussusception

Case presentation A 15-month-old boy is brought into the emergency department by his parents for inconsolable crying for the last 6 hours. He has been crying and refusing to feed and has had nonbloody, nonbilious emesis twice. He is afebrile…