Abstract：
:Abdominal trauma is a leading cause of death in children older than 1 year of age. The spleen is the most common organ injured following blunt abdominal trauma. Pediatric trauma patients present unique clinical challenges as compared to adults, including different mechanisms of injury, physiologic responses, and indications for operative versus nonoperative management. Splenic salvage techniques and nonoperative approaches are preferred to splenectomy in order to decrease perioperative risks, transfusion needs, duration/cost of hospitalization, and risk of overwhelming postsplenectomy infection. Early and accurate detection of splenic injury is critical in both adults and children; however, while imaging findings guide management in adults, hemodynamic stability is the primary determinant in pediatric patients. After initial diagnosis, the primary role of imaging in pediatric patients is to determine the level and duration of care. We present a comprehensive literature review regarding the mechanism of injury, imaging, management, and complications of traumatic splenic injury in pediatric patients. Multiple patients are presented with an emphasis on the American Association for the Surgery of Trauma organ injury grading system. Clinical practice guidelines from the American Pediatric Surgical Association are discussed and compared with our experience at a large community hospital, with recommendations for future practice guidelines.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Lynn KN,Werder GM,Callaghan RM,Sullivan AN,Jafri ZH,Bloom DAdoi
10.1007/s00247-009-1336-0subject
Has Abstractpub_date
2009-09-01 00:00:00pages
904-16; quiz 1029-30issue
9eissn
0301-0449issn
1432-1998journal_volume
39pub_type
杂志文章,评审abstract：:A newborn suffered immediate neonatal respiratory distress because of an obstructive, soft-tissue nasal mass. Clinical examination revealed a cleft palate with a protruding polypoid mass. CT and MRI showed a heterogeneous nasopharyngeal mass and associated intracranial abnormalities - duplication of the hypophysis and...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050354
更新日期：1998-05-01 00:00:00
abstract：:Shaken baby syndrome/abusive head trauma is a leading cause of morbidity and mortality in infants. The presence of a diffuse subdural hematoma without evidence of accident is a key diagnostic clue. The hematoma is typically attributed to rupture of the cerebral bridging veins due to violent shaking, with or without im...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-014-3171-1
更新日期：2014-12-01 00:00:00
abstract：:Bilateral cystic adrenal tumours are a rare presentation of neuroblastoma. Intratumoural haemorrhage is a frequent finding in neuroblastoma, but is rarely symptomatic. We present an 11-month-old girl with predominantly cystic bilateral neuroblastomas and distant lymph-node metastasis. Massive intracystic haemorrhage a...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1209-5
更新日期：2004-09-01 00:00:00
abstract：:We report the brain magnetic resonance imaging findings in the case of a 5-year-old boy with mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS). Fluid-attenuation inversion recovery (FLAIR) imaging revealed multifocal abnormal cortical signals which were difficult to see on conven...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050089
更新日期：1997-02-01 00:00:00
abstract：:Orbital sonography with color-flow Doppler imaging is a relatively new technology with significant application in the pediatric patient. This review stresses the primary indications for pediatric ophthalmic ultrasound and also discusses those instances where the use of ultrasound supplements other imaging studies. ...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/BF01372106
更新日期：1996-01-01 00:00:00
abstract：:Image quality takes on different perspectives and meanings when associated with the concept of as low as reasonably achievable (ALARA), which is chiefly focused on radiation dose delivered as a result of a medical imaging procedure. ALARA is important because of the increased radiosensitivity of children to ionizing r...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-004-1268-7
更新日期：2004-10-01 00:00:00
abstract：:Restrictive dermopathy is an inherited syndrome characterized clinically by severe growth retardation, abnormal skin, characteristic facies, and multiple congenital contractures. Distinctive radiologic features include deficient mineralization of the clavicles and the skull, overtubulation and frequent modeling defect...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02014983
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:Children with sickle cell disease (SCD) often undergo MRI studies to assess brain injury or to quantify hepatic iron. MRI requires the child to lie motionless for 30-60 min, thus sedation/anesthesia might be used to facilitate successful completion of exams, but this poses additional risks for SCD patients. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-012-2422-2
更新日期：2012-10-01 00:00:00
abstract：:Large-cell calcifying Sertoli cell tumors are exceedingly rare testicular tumors which can be distinguished from pure Sertoli cell tumors by distinctive microscopic features and multifocal and bilateral calcifications [1]. We describe the characteristic sonographic appearance of the tumor with pathologic correlation. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:The Computed Tomography (CT) appearance of a pelvic haemangioma involving the rectum in two children, one with the Vater association and one with Klippel-Trenaunay syndrome, is described. Both cases complained of painless rectal bleeding and the diagnosis was suggested by the presence of pelvic phleboliths on the plai...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02387639
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Resistivity index (RI) of the pericallosal artery as is commonly measured during head ultrasound (US) examination in neonates. Some studies have shown that RI measured with gentle compression of the fontanelle provides additional information in cases of neonatal brain anomalies. OBJECTIVE:The purpose of thi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-019-04347-y
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Laterality defects are quite common in thoracoileopagus and parapagus dicephalus but rare in other types of conjoined twins. OBJECTIVE:To present the presumed laterality defects in cephalothoracoileopagus and prosopothoracoileopagus conjoined twins, based on the unilateral or bilateral absence or duplicatio...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-011-2316-8
更新日期：2012-06-01 00:00:00
abstract：:Primary liver malignancies are rare in children. Hepatoblastoma and hepatocellular carcinoma (HCC) together represent the overwhelming majority of cases. Overall survival of hepatoblastoma approaches 80% with multimodal treatment approaches that include chemotherapy, surgery and transplantation. However, there remains...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-018-4068-1
更新日期：2018-04-01 00:00:00
abstract：:The clinical value of computerized body tomography (CT) was analysed in 221 consecutive examinations performed in the evaluation and surveillance of 74 children with various types of extracranial solid malignant tumours. CT was performed as part of a routine diagnostic reassessment in 104 cases and was clinically indi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00999310
更新日期：1982-01-01 00:00:00
abstract：:The spectrum of congenital anomalies of the male urethra is presented. The embryologic basis of each anomaly, when known, is discussed. Clinical and imaging features of each entity are presented. ...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-007-0495-0
更新日期：2007-09-01 00:00:00
abstract：:The diagnosis of Wilms' tumor is usually made by excretory urography after the patient presents with an abdominal mass. A diagnosis prior to the appearance of an obvious mass might result in an improved cure rate and less morbid therapy. The three cases described illustrate the difficulty in making an earlier diagnosi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01000118
更新日期：1975-03-20 00:00:00
abstract：:Radiologically visible calcification in the wall of a uriniferous perirenal pseudocyst is rare. This unusual finding was seen in a newborn infant who was found to have a left flank mass on the first day of life. When perirenal pseudocysts occur in infants, they are usually caused by congenital obstructive lesions of t...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00973970
更新日期：1980-01-01 00:00:00
abstract：BACKGROUND:Fetal MRI at 3 T is associated with increased acoustic noise relative to 1.5 T. OBJECTIVE:The goal of this study is to determine if there is an increased prevalence of congenital hearing loss in neonates who had a 3-T prenatal MR vs. those who had it at 1.5 T. MATERIALS AND METHODS:We retrospectively ident...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-018-4261-2
更新日期：2019-01-01 00:00:00
abstract：:The article "Inter- and intra-observer reliability of contrast-enhanced magnetic resonance imaging parameters in children with suspected juvenile idiopathic arthritis of the hip". ...
journal_title：Pediatric radiology
pub_type： 杂志文章,已发布勘误
doi：10.1007/s00247-018-4285-7
更新日期：2018-12-01 00:00:00
abstract：:Our aim in this study was to determine whether delaying the initial screening cranial ultrasound on infants of low birth weight until the 2nd week of life affects clinical diagnosis and cost of patient care. Data were reviewed on all premature infants of less than 33 weeks gestation or less than 1500 g birth weight ad...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02019054
更新日期：1995-01-01 00:00:00
abstract：:Trichorhinophalangeal syndrome type II is a rare genetic disorder with the few published case reports mainly reporting the radiographic skeletal manifestations. There are no published imaging reports of long bone cysts involving multiple bones in this condition. We report a unique case of bone cysts involving multiple...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-017-3839-4
更新日期：2017-07-01 00:00:00
abstract：:Ultrasound (US) has been proposed as an alternative first-line imaging modality to diagnose community-acquired pneumonia in children. Lung US has the potential benefits over chest radiography of being radiation free, subject to fewer regulatory requirements, relatively lower cost and with immediate bedside availabilit...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-017-3910-1
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Knowledge of normal appearances of the temporomandibular joint (TMJ) is paramount when assessing the joint for disease in juvenile idiopathic arthritis. Reliable features defining normal TMJs in children are limited. OBJECTIVE:To establish reliable normal standards for the TMJ at magnetic resonance imaging ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-017-4048-x
更新日期：2018-03-01 00:00:00
abstract：:Rwanda is a country of 12 million people with 41% of its population under the age of 14 years. Despite major improvements in health care since the 1994 genocide, pediatric neuroimaging in Rwanda remains challenging. Prenatal and advanced imaging techniques, such as magnetic resonance imaging (MRI), are not widespread....
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-018-4315-5
更新日期：2019-05-01 00:00:00
abstract：PURPOSE:The purpose of this study was to determine normal resistive index (RI) values for term neonates during the first day of life as part of an ongoing prospective study of RI values in term infants with perinatal asphyxia. MATERIALS AND METHODS:Forty normal term neonates underwent cranial sonography and Doppler du...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470000286
更新日期：2000-09-01 00:00:00
abstract：BACKGROUND:Safety concerns are increasingly raised regarding the use of gadolinium-based contrast media for MR imaging. OBJECTIVE:To determine the accuracy of pre-contrast abdominal MR imaging for lesion detection and characterization in pediatric oncology patients. MATERIALS AND METHODS:We included 120 children (37 ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-016-3664-1
更新日期：2016-11-01 00:00:00
abstract：:Cholelithiasis is very rare in the newborn infant and is usually not recognized until surgery or autopsy following perforation of the biliary tree. Two premature infants had calcified gallstones on abdominal radiographs. In one patient portal vein thrombosis was also present. The other had been treated with total pare...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00973193
更新日期：1982-01-01 00:00:00
abstract：:We present a case of Sertoli-Leydig cell tumour of the ovary in a 14-year-old girl who presented with abdominal distension. Ultrasonography showed a multilocular cystic lesion filled with finely echogenic fluid. Contrast-enhanced CT demonstrated a huge multilocular cystic mass with thickened septa. At MR imaging, the ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-008-0868-z
更新日期：2008-08-01 00:00:00
abstract：:A 6-week-old girl presented with bronchiolitis secondary to respiratory syncytial virus. Eight days after admission she developed a Staphylococcus aureus infection at a previous intravenous cannula site. Despite antibiotic therapy this led to an anterior mediastinal staphylococcal abscess, which was drained surgically...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:The relationship between image noise and radiation dose was investigated in computed tomography (CT) images of a pediatric abdomen phantom. A protocol which provided a minimum absorbed dose consistent with acceptable image noise criteria was determined for a fourth generation CT scanner. It was found that pediatric ab...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02387506
更新日期：1986-01-01 00:00:00
