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The pediatric patients suffering from an abdominal mass need proper clinical evaluation and appropriate management, which is surgical in majority of cases. Age and imaging appearance provide valuable information for developing differential diagnosis. Multidetector computed tomography (MDCT) is a very sensitive imaging modality with high diagnostic accuracy. It is fast, reliable, significantly accurate method for localizing and characterizing various tumors arising from pediatric abdomen. It helps in narrowing differentials and arriving at a final diagnosis in most cases. It also provides significant information for operative management.
Familiarity with the key imaging features of the pelvi abdominal masses and knowledge of the clinical associations will help the radiologist to establish a definitive diagnosis or provides a reasonable differential diagnosis. We proposed a practical algorithm that can simplify the approach for the diagnosis of these lesions.