When children present with unexplained abdominal pain, bloating, or other gastrointestinal concerns, an abdomen and pelvis ultrasound is a commonly recommended diagnostic tool. This safe, non-invasive, and radiation-free imaging technique is used to assess conditions affecting the digestive, urinary, and reproductive systems.
Unlike other imaging techniques, ultrasound relies on high-frequency sound waves to produce detailed images, making it a preferred choice for pediatric evaluation.
How Ultrasound Helps Detect Appendicitis in Children

Appendicitis is one of the most common causes of severe abdominal pain in children. It happens when the appendix, a small organ in the lower right abdomen, becomes inflamed. If left untreated, it can rupture, leading to serious complications.
An ultrasound is the first-line imaging test for appendicitis in children. It helps doctors check for:
- Swelling of the appendix
- Fluid buildup around the appendix
- Increased blood flow to the area, indicating inflammation
Since ultrasounds provide real-time images, doctors can quickly determine if surgery is necessary or if other conditions might be causing the pain.
Read More: How to Prepare for an Abdomen and Pelvis Ultrasound: Do’s and Don’ts
Diagnosing Kidney and Bladder Infections with Ultrasound
Urinary tract infections (UTIs) and bladder infections are common in children, especially in girls. While mild infections can be treated with antibiotics, repeated or severe infections may indicate underlying kidney or bladder problems.
An ultrasound helps detect issues such as:
- Kidney swelling (hydronephrosis) caused by urine blockage
- Bladder abnormalities that could contribute to infections
- Kidney stones, which may lead to pain and urinary problems
If a child has frequent UTIs, doctors may use ultrasound to check for structural abnormalities that might be causing recurrent infections.
Using Ultrasound to Identify Intestinal Obstructions

Intestinal obstructions can happen when food or liquid is unable to pass through the intestines properly. This can lead to severe stomach pain, vomiting, bloating, and constipation. In children, the most common causes include:
- Intussusception, where one part of the intestine slides into another
- Hernias, where a portion of the intestine pushes through a weak spot in the abdominal muscles
- Congenital conditions, like malrotation, which affects the normal positioning of the intestines
Ultrasound is a non-invasive and effective method to diagnose these issues. If intussusception is detected early, doctors may be able to treat it without surgery by using a special air or liquid enema guided by ultrasound.
Read More: Abdomen and Pelvis Ultrasound: What to Expect During Your Scan
Monitoring Cysts and Tumors in the Abdomen or Pelvis
Abnormal growths, such as cysts and tumors, can develop in the abdomen or pelvis of children. While many cysts are harmless and go away on their own, some may require monitoring or treatment. Tumors, whether benign (non-cancerous) or malignant (cancerous), need early detection for proper management.
Ultrasound helps doctors:
- Determine the size, shape, and location of a mass
- Differentiate between solid tumors and fluid-filled cysts
- Monitor changes in the mass over time
If a tumor or cyst requires further evaluation, additional imaging tests may be recommended.
Detecting Gallstones or Liver Issues in Kids

Gallstones, though more common in adults, can also develop in children due to genetic factors, rapid weight loss, or medical conditions like sickle cell disease. Gallstones may cause severe pain, nausea, and digestive problems.
Ultrasound is the best method for diagnosing gallstones because it allows doctors to:
- See stones inside the gallbladder
- Check for inflammation (cholecystitis)
- Identify bile duct blockages
Liver diseases, such as hepatitis, fatty liver disease, and liver tumors, can also be diagnosed with an ultrasound. The scan helps doctors assess liver size, texture, and blood flow, which is crucial for diagnosing and managing liver conditions in children.
Read More: The Role of Abdomen and Pelvis Ultrasound in Women’s Health