Diagnosis importance of an ultrasound sonography while infantile appendicular peritonitis

In order to study the possibilities of ultrasound sonography (US) for diffuse purulent appendicular peritonitis (SGAP), complicated by intestinal paralysis (IP) in children, for an objective assessment of intestinal motor activity, the extent of the pathological process in the abdominal cavity and for dynamic monitoring of the effectiveness of treatment, we examined 93 patients aged 2 to 15 years with appendiceal peritonitis. The patients were divided into 2 groups: comparison group I - 45 patients with appendiceal peritonitis complicated by stage I-II paresis. Group II included 48 children with RGAP complicated by PC (main group). The following echographic indicators were assessed: the presence of fluid in the abdominal cavity and its localization; the presence of intestinal peristalsis; intestinal diameter and thickness; accumulation of fluid and air in the intestinal lumen; the nature of the movement of chyme through the intestine. When comparing preoperative ultrasound parameters with the results of intraoperative examination of the abdominal cavity, it was revealed that in 91.2% of cases, echographic data coincided with intraoperative data. Ultrasound scanning in the postoperative period allows not only to detect a positive clinical picture, but also to contribute to the early recognition of postoperative intra-abdominal complications (abdominal abscesses, adhesive complications).