By Samuel Stafrace, Johan G. Blickman
This ebook comprehensively stories imaging of the pediatric gastrointestinal tract and accent digestive organs from a pragmatic procedure.
Starting with a short dialogue on ideas this can be via a few complete chapters masking emergency/acute pediatric belly imaging. a chain of conventional anatomically established chapters at the oesophagus, belly, small bowel, colon and accent organs then stick to. every one bankruptcy rigorously considers the function of the at present on hand imaging ideas and discusses and illustrates diagnostic dilemmas. The ultimate bankruptcy makes a speciality of pediatric interventional strategies played with imaging information.
Since the 1st version, the textual content has been absolutely up-to-date and new illustrations integrated. opposed to the historical past of quick advances in imaging know-how and the precise facets of gastrointestinal imaging in young children and babies, this quantity will function an important reference for common and pediatric radiologists in addition to for radiologists in education, neonatologists and pediatricians.
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Additional resources for Radiological Imaging of the Digestive Tract in Infants and Children
In this condition, counterclockwise SMV/ SMA configuration may appear similar to whirlpool sign of volvulus, but it does not indicate volvulus itself, and an upper gastrointestinal series shows a normally located duodenal–jejunal junction. The so-called counterclockwise barber-pole sign is usually seen in asymptomatic patients, and the significance of these findings must be recognized in the context of an asymptomatic infant under review for another reason (Clark and Ruess 2005). 4 High Small Bowel Obstruction High small bowel obstruction includes atresia or stenosis of the jejunum or proximal ileum.
Hyperosmolar agents such as Gastrografin continue to be used by many radiologists (Veyrac et al 2012; Juang and Snyder 2012) although many have ceased using it because of its risks. The success rate of enema resolution of meconium ileus is less than 40 % (Buonomo 1997). 1 % polysorbate 80 (Tween 80) and 37 % organically bound iodine. The solution’s osmolarity is 1,900 Osm/L. This very hyperosmolar agent decreases the tenacity of the meconium by drawing water into the bowel lumen. , volvulus, gangrene, perforation, peritonitis).
It can present as fetal meconium ascites, giant pseudocysts, small pseudocysts, and calcifications. Associated polyhydramnios is a common finding (Rubesova 2012). 2 Colonic Obstruction Colonic atresia similar to small bowel atresia, is believed to result from an intrauterine vascular insult. The colon is the least frequent location, representing 5–15 % of all intestinal atresias. Gastrointestinal Emergencies in the Neonate a 37 b c Fig. 27 Meconium peritonitis with calcified meconium in the scrotum.