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Ultrasonographic features of children presenting with abdominal pain : normal versus abnormal Wiersma, F.

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Citation

Wiersma, F. (2009, September 10). Ultrasonographic features of children presenting with abdominal pain : normal versus abnormal. Retrieved from

https://hdl.handle.net/1887/13972

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13972

Note: To cite this publication please use the final published version (if applicable).

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Ultrasonographic features in children presenting

with abdominal pain: normal versus abnormal

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Ultrasonographic features in children presenting with abdominal pain: normal versus abnormal

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. P.F. van der Heijden,

volgens het besluit van het College voor Promoties te verdedigen op donderdag 10 september 2009

klokke 16.15 uur

door

Fraukje Wiersma geboren te ‘s-Gravenhage

in 1980

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ISBN: 978-94-90122-41-6

Layout and printing: Gildeprint Drukkerijen - Enschede, The Netherlands Cover illustration by Loes Wiersma-Deijl

Ultrasonographic features in children presenting with abdominal pain: normal versus abnormal

© 2009, F. Wiersma, The Netherlands.

All rights reserved. No parts of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without prior written permission of the author.

Publication of this thesis was financially supported by Guerbet Nederland B.V., MEDRAD B.V., Toshiba Medical Systems Nederland and Leuwico Nederland B.V.

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Contents

Chapter 1 Introduction 7

General

Purpose of the thesis Outline of the thesis

Chapter 2 US features of the normal appendix and surrounding area in children. 15

Chapter 3 US examination of the appendix in children with suspected appendicitis:

The additional value of secondary signs. 27

Chapter 4 Increased echogenicity of renal cortex: a transient feature in acutely

ill children. 39

Chapter 5 Ileoileal intussusception in children: ultrasonographic differentiation

from ileocolic intussusception. 49

Chapter 6 Enlarged mesenteric lymph nodes in children with recurrent abdominal pain:

Is there an association with intestinal parasitic infections? 59

Chapter 7 Summary and conclusions 67

Chapter 8 Samenvatting en conclusies 73

Curriculum vitae 79

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