PEDIATRIC ABDOMINAL EMERGENCIES Leonard E. Swischuk, M.D. This presentation will be available on http://radiology.utmb.edu/ For 30 days after the ASER meeting ACUTE ABDOMEN (Plain films – still valuable - focused) ─ Appendicitis: scoliosis-but usually normal ─ Perforated appendix: obstruction ─ Pneumonia: Acute abdomen series ENTITIES FOR DISCUSSION  Appendicitis ( typical fecalith )  Viral Appendicitis  Mesenteric adenitis/enteritis  Intussusception  Transient intussusception OUR PROTOCOL ─US first ( if possible ) ─CT ( if necessary ) - US not possible - US equivocal** - Body build ─ IV Contrast only