The role of sonography for depiction of a whirlpool sign unrelated to midgut malrotation in neonates

ConclusionThis study illustrates neonates in whom a whirlpool sign (unrelated to midgut volvulus) was correctly recognized on sonography before surgery. Sonography proved more useful than an upper gastrointestinal series or contrast enema in depicting the exact cause of the obstruction. Pediatric radiologists must make the effort to search throughout the entire abdomen and pelvis for a small whirlpool sign on sonography, even in the absence of midgut malrotation, in neonates with congenital intestinal obstruction. Its recognition preoperatively will facilitate a rapid diagnosis and will obviate the necessity for contrast examinations of the gastrointestinal tract, which require ionizing radiation.
Source: Pediatric Radiology - Category: Radiology Source Type: research

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Conclusion: Prediction of gap length by vertebral level of arrest of the nasogastric tube in the upper pouch in a preoperative chest X-ray correlated well with intra operatively measured gap length in cases of EA-TEF.
Source: Journal of Indian Association of Pediatric Surgeons - Category: Surgery Authors: Source Type: research
This article presents two patients with radiographic diagnosis of vertebral artery disease. In case 1, the large field of view CBCT volume was obtained for evaluation of the temporomandibular joints. A curvilinear high-density structure was seen within the left transverse foramen of C3. Based on the density, location, and shape, a radiographic diagnosis of calcified atheromatous plaque was made. The patient was referred to her physician for management. In case 2, irregularly shaped, small, high-density structures were noted on the CBCT examination close to the left carotid bifurcation at the level of C3–C4. It was al...
Source: Journal of Orofacial Sciences - Category: Dentistry Authors: Source Type: research
Discussion –-       Bronchial atresia usually is benign and asymptomatic and is incidental finding&clinical manifestations may range from recurrent pulmonary infections to mild wheezing and dyspnea. Bronchial atresia is a congenital abnormality resulting from focal interruption of a lobar, segmental, or subsegmental bronchus with associated peripheral mucus impaction (bronchocele, mucocele) and associated hyperinflation of the obstructed lung segment. The apicoposterior segmental bronchus of the left upper lobe is most common site to be involved, followed by segmental bronc...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs
BACKGROUND AND PURPOSE: Midnasal stenosis is a poorly defined entity that may be a component of other conditions of nasal obstruction contributing to respiratory distress in infants. We sought to establish whether midnasal vault narrowing is a component of well-defined syndromes of nasal narrowing, such as bilateral choanal atresia and pyriform aperture stenosis, and to characterize the nasal anatomy of patients with syndromic craniosynostosis. MATERIALS AND METHODS: A convenience sample of patients with pyriform aperture stenosis, bilateral choanal atresia, and Apert and Crouzon syndromes with maxillofacial CT scans was ...
Source: American Journal of Neuroradiology - Category: Radiology Authors: Tags: HEAD & amp; NECK Source Type: research
Discussion Respiratory problems in infants can caused by many things including any type of obstruction from the nose to lung. Neonates and infants are particularly susceptible to changes in the size of the airway because of the physics of airflow resistance. Important reminders about infant airways: Resistance = 1/radius4 (Poiseuille’s equation) therefore even a 1 mm decrease in the airway circumferences increases the airflow resistance x16. Increased airflow causes less pressure along the walls, which can lead to collapse of the walls (Bernoulli’s and Venturi effects). Neonates have smaller lungs relative to ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
ConclusionsCareful consideration should be given to the use of imaging in OA/TOF to minimise morbidity in these vulnerable infants. Oesophagrams in children without the symptoms of anastomotic leak or stricture should be discontinued. Standardisation of monitoring protocols with regard to radiation exposure should be considered.
Source: Pediatric Surgery International - Category: Surgery Source Type: research
A 2-month-old male child presented with central cyanosis, poor feeding and failure to thrive. Chest radiograph revealed mild cardiomegaly with right ventricular configuration and right sided aortic arch. Echocardiography demonstrated presence of non-committed VSD with pulmonary atresia. Aorta was seen arising from right ventricle. CT angiography confirmed the presence of VSD with pulmonary atresia. The aortic arch was right sided with mirror image branching of the arch vessels. The pulmonary arteries were non-confluent with the right pulmonary artery reformed via a patent arterial duct.
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Authors: Source Type: research
A four month old female child presented with past history of multiple episodes of respiratory tract infection. On examination, she was febrile, tachypneic and cyanosed. Chest radiograph showed normal cardiothoracic ratio with pulmonary plethora and mediastinal shift to the right. She was maintaining low oxygen saturation even with oxygen support. Echocardiography was suggestive of truncus arteriosus including the typical ventricular septal defect. Cardiac CT was performed, revealing a perimembranous ventricular septal defect (black asterisk in Fig.
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Authors: Source Type: research
Conclusions: A high index of suspicion for spontaneous pneumoperitoneum must be present when dealing with pediatric patients, especially neonates with pneumoperitoneum and without clinical signs of peritonitis. A comprehensive clinical evaluation with sepsis screen must be carried out to supplement the diagnosis. Pneumoperitoneum in pediatric patients, especially neonates, is not always an absolute indication for surgery.
Source: Journal of Indian Association of Pediatric Surgeons - Category: Surgery Authors: Source Type: research
RESUMO Objetivo: Relatar um caso de calcifica ção distrófica intensa no interior do seio maxilar em uma criança com transplante hepático e órgãos dentais pigmentados por hiperbilirrubinemia. Descrição do caso: Paciente do sexo feminino, 12 anos de idade, com transplante hepático efetuado aos 7 anos de vida devido à atresia de vias biliares extra-hepática, uso de tacrolimus imunossupressor (2 mg diários). No exame clínico intrabucal, observou-se a presença de pigmentação esverdeada no órgão de...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
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