Plain Films - Abdomen
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- Supine abdomen to include symphysis pubis and diaphragms.
- Any acute abdomen to have supine and L lateral decubitus images
- If febrile, consider PA erect CXR. Chest infection can produce symptoms of abdomen pain and vomiting.
- If constipated, supine only. Review your images, if bowel gas looks unusual, consider a decubitus.
- Decubitus image must have patient lying on left side for at
least 5 minutes first. Elevate patient on large pad and use
horizontal ray +/- grid depending on size.
For larger patients you can move onto Phillips trolley (found in R2) and use erect bucky with grid.
- No gonad protection for girls as this may obscure abdomen
Careful placement of gonad protection is possible for boys.
- Remove ALL clothing from child including nappies and underpants. Elastic in underpants will be visible on image. Place incontinence sheet beneath baby. Older children can be dressed in a night gown or strategic placement of cloth nappy / draw sheet may be sufficient. Try to eliminate any folds or wrinkles.
|Clinical Indications||Patient Position||Comments|
| Abdo pain ?
? bowel obstruction
L lat decubitus abdomen
PA erect CXR if febrile
|Supine abdomen must include diaphragms and symphysis|
|Supine abdomen only||If not obviously constipated, may need to do decubitus|
|Ingested foreign body||Supine with head turned to side
Lateral neck & CXR may be needed if FB is of low density and not seen on initial film eg plastic
|Include mouth to anus on one
If not possible, ensure 2 films overlap
|Imperforate anus||CXR (supine)
L Lateral decubitus
Prone shoot through
(discuss with radiologist)
|Neonate - ensure room is warm
Prone shoot through should not be done before 24hrs post natal
Leave at least 5 mins in prone position before film taken - BB on anal dimple if required by radiologist
|VP shunt series||AP/ Lateral SXR (soft tissue
New insertion only, if requested :
Lateral shoot through abdomen
|If head CT has been done at SS do not need
SXR Include whole length of shunt :looking for breaks Shunt often
extends to pelvis
To check if shunt in peritoneum
L lateral decubitus
|Include diaphragms on AXR|
Did you find this information helpful?
- Date last published: 13 October 2017
- Document type: Imaging Protocol
- Services responsible: Paediatric Radiology
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