The role of ultrasound sonography in diagnosis of appendicular peritonitis in children

In order to study the possibilities of ultrasound sonography with diffuse purulent appendicular peritonitis (DPAP) complicated by paralysis of the intestine (PI) in children, 93 patients were examined for an objective assessment of the motor activity of the intestine, the degree of prevalence of the pathological process in the abdominal cavity and with the dynamic control of the effectiveness of treatment. Аt the age of 2 to 15 years with appendicular peritonitis. Patients are divided into 2 groups: I group of comparison - 45 patients with appendicular peritonitis complicated by intestinal paresis I-II stage. In the II group there were 48 children with DPAP complicated by PI (main group). The following echographic indicators: the presence of fluid in the abdominal cavity and its localization; presence of intestinal peristalsis; diameter and thickness of the intestine; the accumulation of fluid and air in the lumen of the intestine; character of the progression of chyme in the gut. When comparing the preoperative parameters of USZ with the results of intraoperative revision of the abdominal cavity, it was revealed that in 91.2% of cases the echographic data coincided with the intraoperative ones. USS in the postoperative period can detect not only a positive clinical picture, but also contribute to early detection of postoperative intra-abdominal complications (abscesses of the abdominal cavity, adhesive complications).