Year : 2021 Month : January Volume : 8 Issue : 3 Page : 157-161.
Sreelaxmi Aitipamula1, Veena Madireddy2, Vijaya Kumari Mudunoor3, Baranitharan S.4
1, 2, 3, 4 Department of Radiodiagnosis, Osmania Medical College, Hyderabad, Telangana, India.
Dr. Sreelaxmi Aitipamula,
H. No. 6-5-470/2, Ngos Colony,
Vanasthalipuram - 500070,
Hyderabad, Telangana, India.
Email : firstname.lastname@example.org
Abdominal cystic masses are common in children. Their etiopathogenesis, histology, localisation and clinical presentation differ significantly which could lead to diagnostic dilemmas. Patients usually present with mass per abdomen. Other symptoms include abdominal pain, early satiety, bowel obstruction, or fever if the underlying cause of the mass is infection. Various types of cystic lesions occur in this age group of which some of them have specific imaging features sonologically. On the basis of sonographic findings, selection of additional imaging modalities including CT and MRI can be applied more judiciously. CT and MRI provide additional information and help to narrow down the diagnostic possibilities.
This is a cross sectional, hospital-based study conducted over a period of 18 months from April 2018 to September 2019 in the Department of Radiodiagnosis, Niloufer Hospital, Hyderabad.
Sample Size & Sample Technique
All the paediatric patients suspected to have intra-abdominal cystic lesions clinically, referred to radiology department, Niloufer hospital, Hyderabad between April 2018 - September 2019 were included in the study. Sample size calculation was time bound and sampling technique was whole sample study.
Clearance was obtained from the institutional ethics committee. After obtaining informed consent, 60 patients were enrolled in the study. Patients initially underwent clinical and biochemical evaluation. Then USG has been done on Esaote Mylab50. Based on USG findings diagnostic possibilities has been arrived at, sonologically. The children were further subjected to CT / MRI if needed accordingly. MRI has been done on Philips 1.5 Tesla for biliopancreatic abnormalities with dedicated magnetic resonance cholangiopancreatography (MRCP) protocol, and CT has been done on Toshibha Aquilion 16. CT scan included plain and contrast study using intravenous iomeprol. Pedicloryl has been used for sedation of the patients. The lesions have been evaluated on CT in their entirety regarding size, extent, mass effect over adjacent organs and any complications if present. A note of any other incidental findings in the study have also been made.
Data was entered in Microsoft Excel and analysis was done using SPSS version 20. Results on categorical measurements are presented as percentages. Significance is assessed at 5 % level of significance, P < 0.05 – statistically significant Fisher’s exact test / chi square test was used to find out the significance of study parameters on a categorical scale between two groups.
The association between age and incidence of lesions was found to be statistically in-significant (P = 0.621).
The association between sex of the child and incidence of lesions was found statistically significant (P = 0.036)