16. ASSESSMENT OF THE ULTRASOUND ROLE IN THE PATENT PROCESSUS VAGINALIS IN CHILDREN AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL IN 2024
Main Article Content
Abstract
Objective: To describe the clinical and ultrasound imaging characteristics of patent processus vaginalis (PPV) in children and to analyze the value of ultrasound in diagnosing PPV in children.
Subjects and Methods: All patients aged ≤16 years diagnosed with PPV by ultrasound and surgery at Nghe An Obstetrics and Pediatrics Hospital were included. The study was designed as a retrospective, descriptive, and analytical study, with a comparative analysis of 234 eligible patients.
Results: The average age was 3.6 ± 2.3 years, with a male-to-female ratio of 5,4/1. Disease duration of 1–6 months accounted for 50.6% of cases. The main reason for hospital admission was groin swelling or scrotal/labial swelling, observed in 93.4% of cases. Herniated contents were primarily bowel loops, accounting for 64.8%. The highest rate of incarcerated inguinal hernia was associated with ovarian herniation, accounting for 25%. All cases of incarcerated inguinal hernia showed no Doppler signal. Conclusions: The average sac diameter correlated with the type of hernia. Ultrasound is a simple, inexpensive, and highly valuable first-line diagnostic tool for PPV in children.
Article Details
Keywords
patent processus vaginalis, ultrasound, Doppler
References
[2] Dreuning, K.M.A., et al., Diagnostic accuracy of preoperative ultrasonography in predicting contralateral inguinal hernia in children: a systematic review and meta-analysis. Eur Radiol, 2019. 29(2): p. 866-876.
[3] Erdoğan, D., et al., Analysis of 3,776 pediatric inguinal hernia and hydrocele cases in a tertiary center. J Pediatr Surg, 2013. 48(8): p. 1767-72.
[4] Chen, K.C., et al., Ultrasonography for inguinal hernias in boys. J Pediatr Surg, 1998. 33(12): p. 1784-7.
[5] Kervancioglu, R., et al., Ultrasonographic evaluation of bilateral groins in children with unilateral inguinal hernia. Acta Radiol, 2000. 41(6): p. 653-7.