Abstract：
:This paper compares the effects on patients of perforation with barium and with air during attempted intussusception reduction by reviewing the clinical, radiological, surgical and pathological findings and sequelae in seven children who received barium and seven who received air. In both groups perforation occurred in infants under 6 months of age (with one exception) with a long duration of symptoms. All patients with barium enema required resection of bowel whereas only four with air enema required resection. Anesthetic times were longer in those patients with barium perforation in whom the intussusception did not move and there was a large leak. The patients with perforation due to air had a shorter hospital stay with decreased morbidity compared to those with perforation due to barium. Perforation occurred through areas of transmural necrosis in a minority of patients in each group. Perforations through normal bowel and shear injury (with air enema) indicate that increased pressure during the examination is an important factor in some patients. Because perforation with air is so much easier to deal with surgically and the children do better clinically, there is a tendency for some to consider perforation with air an inconsequential situation. However, a potential rare complication with this technique is tension pneumoperitoneum. Keeping this in mind, we continue to use air as the contrast of choice because the procedure in our hands is a safe, quicker and easier technique and we have achieved a substantial improvement in reduction rates. Overall reported perforation rates with air enema compare favourably with those due to barium enema.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Daneman A,Alton DJ,Ein S,Wesson D,Superina R,Thorner Pdoi
10.1007/BF02010311subject
Has Abstractpub_date
1995-01-01 00:00:00pages
81-8issue
2eissn
0301-0449issn
1432-1998journal_volume
25pub_type
杂志文章abstract：:We report a rare case of atypical teratoid/rhabdoid tumor that presented with imaging findings similar to those of optic pathway glioma. The diagnosis of atypical teratoid/rhabdoid tumor was determined following surgical resection of the tumor by collective histologic and immunohistochemical staining, and cytogenetic ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-008-0923-9
更新日期：2008-10-01 00:00:00
abstract：:We present the CT and MRI findings of a patient with Chédiak-Higashi syndrome in the accelerated phase with marked white-matter abnormalities. Pathologic and clinical features allow diagnosis of this condition, which in this case had dramatic neuroradiographic manifestations not well described in previous reports. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050637
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND:Demand for pediatric cardiac computed tomography (CT) angiography is increasing due to recent advances that reduce the need for sedation and radiation exposure while enhancing diagnostic accuracy. This has resulted in the increasing use of cardiac CT angiography emergently during weekends and after hours. Th...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-020-04659-4
更新日期：2020-07-01 00:00:00
abstract：:The technique of inversion-ligation appendectomy is used by some surgeons to eliminate the risk of peritoneal contamination as the result of incidental appendectomy during an otherwise clean surgical procedure. In most cases, the intussuscepted appendix necroses and sloughs into the cecum after several days. We presen...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470100492
更新日期：2001-08-01 00:00:00
abstract：BACKGROUND:We have previously shown that urinary bladder volume index (BVI = length x width x depth of bladder) and bladder volume wall thickness index (BVWI = BVI at full bladder/average bladder wall thickness) are useful indicators of bladder dysfunction in children with enuresis and urinary tract infection. These in...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-006-0376-y
更新日期：2007-02-01 00:00:00
abstract：:We report a case of perforation, fistula formation, and small bowel obstruction in a 2-year-old child who had ingested 32 small magnets. Multiple magnets will attract one another through the bowel wall and lead to pressure necrosis with complications. We recommend early surgical intervention before the onset of gastro...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-005-0056-3
更新日期：2006-03-01 00:00:00
abstract：:Fourteen intracranial tumors were diagnosed by means of mechanical sector scanning through the infant's open fontanelle in a series consisting of 1150 examinations. In addition, integrated pulsed Doppler-sonography (duplex-scan technique) was used to diagnose malformations of intracranial vessels. We established five ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01601876
更新日期：1984-01-01 00:00:00
abstract：BACKGROUND:There are many controversies surrounding the effectiveness of endoscopic treatment of vesicouretheral reflux (VUR) in children, thus it is of highest priority to analyze factors influencing the outcome of therapy and to search for new methods that would increase the success rate and reduce the number of rein...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-014-2963-7
更新日期：2014-09-01 00:00:00
abstract：:We present the CT and MRI findings of an 8-day-old infant with an infected cephalhaematoma complicated by skull osteomyelitis, venous sinus thrombosis and left cerebellar haemorrhage. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-001-0647-6
更新日期：2002-05-01 00:00:00
abstract：:Among all causes of death in children from solid tumors, pediatric brain tumors are the most common. This article includes an overview of a subset of infratentorial and supratentorial tumors with a focus on tumor imaging features and molecular advances and treatments of these tumors. Key to understanding the imaging f...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-015-3326-8
更新日期：2015-09-01 00:00:00
abstract：:Relapses of lymphoblastic leukaemia traditionally involve the central nervous system and testes in boys. Involvement of the female pelvic organs is frequently found at autopsy; however, involvement of the cervical uterus is rare and even less commonly symptomatic. A 13-cm uterine mass was discovered in a 15-year-old a...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-007-0661-4
更新日期：2008-03-01 00:00:00
abstract：:With the increased importance of CT radiation dose to health care providers, patients and the general public, there is an increased responsibility to minimize patient dose effectively. Bismuth shields offer a simple strategy to reduce dose to certain anterior radiosensitive organs such as breasts and eyes. However, in...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-014-3084-z
更新日期：2014-10-01 00:00:00
abstract：:Imaging pediatric elbow trauma in the acute setting remains diagnostically challenging given difficult patient positioning, multiple ossification centers of the pediatric elbow, overlapping structures, and complex joint anatomy. Digital tomosynthesis is a technique where the X-ray source travels across a limited arc a...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-019-04444-y
更新日期：2019-11-01 00:00:00
abstract：:Retrograde radiologic gastrostomy is one of several techniques used for placing a gastrostomy and is a common technique used in children. The use of a retention anchor suture (RAS) is an important component of this procedure. This pictorial essay explores the normal course and passage of the RAS, as well as abnormal m...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-013-2627-z
更新日期：2013-08-01 00:00:00
abstract：:Cystic dysplasia of the testis is an uncommon benign cause of an intratesticular mass in children. It is often associated with renal abnormalities, which reflects the close developmental association between the kidneys and testes. The diagnosis is usually suspected based on sonographic findings. We present a case of c...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050508
更新日期：1998-12-01 00:00:00
abstract：:Peutz-Jeghers syndrome (PJS) is a rare, though well-described, hereditary polyposis syndrome associated with mucocutaneous pigmentation that typically presents in the second decade of life with complications related to intestinal polyps. We present two cases of teenaged girls presenting with small-bowel intussusceptio...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-002-0695-6
更新日期：2002-09-01 00:00:00
abstract：:Historically, the first case of congenital prepyloric membrane in an infant was documented in 1933 [1]. Since then cases have been reported only sporadically in the literature [2-8]. This is a case of congenital antral web which was identified by real-time ultrasonography, confirmed by barium meal study, and proven at...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02016251
更新日期：1992-01-01 00:00:00
abstract：:Primary malignant tumours of the stomach are very rare in children, most being lymphomas and sarcomas. The majority of primary gastric lymphomas are high-grade non-Hodgkin's lymphomas and are of B-cell origin. However, a significant number are low-grade B-cell lymphomas that are derived from mucosa-associated lymphoid...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-001-0598-y
更新日期：2002-02-01 00:00:00
abstract：:Herpes simplex virus (HSV) type I causes a fulminant necrotising meningoencephalitis distinguished from other encephalitides by its focal and often haemorrhagic nature. Specific antiviral therapy with acyclovir can significantly improve the prognosis. We present MRI findings of two cases of herpes simplex encephalitis...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470100508
更新日期：2001-09-01 00:00:00
abstract：:Mass-like renal lesions in children occur in a diverse spectrum of conditions including benign and malignant neoplasm, infection, infarction, lymphatic malformation, and traumatic injury. Although mass-like renal lesions can sometimes be suspected on plain radiographs and evaluated with US in children, subsequent CT i...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-007-0548-4
更新日期：2007-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01403709
更新日期：1996-01-01 00:00:00
abstract：:The diagnosis of an atypical pneumomediastinum in a newborn was confirmed by ultrasound where an echogenic rim of air was noted around the heart. Ultrasound is suggested as an alternative to a decubitus film in differentiating between a pneumomediastinum (which usually resolves spontaneously) and a medial pneumothorax...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02013517
更新日期：1992-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-016-3600-4
更新日期：2016-06-01 00:00:00
abstract：:Purpose. To determine whether gadolinium-enhanced MR imaging can detect early reversible ischemia of the capital femoral epiphysis and physis induced by hip hyperabduction in piglets. Materials and methods. Thirteen 1- to 3-week-old piglets were placed in maximal abduction of both hips and studied with dynamic gadolin...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02011824
更新日期：1995-01-01 00:00:00
abstract：:We describe a woman and her daughter affected by brachydactyly type C. The unusual feature in the child included the striking 'angel-shaped' appearance of the proximal phalanges of the index and middle fingers of one hand, whereas more typical triangular epiphyses with elongation of their radial side were present at t...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1362-x
更新日期：2005-05-01 00:00:00
abstract：:Five cases of chronic, inflammatory, multifocal bone lesions of unknown etiology are reported. Although bone biopsy confirmed osteomyelitis in each case in none of them were organisms found inspite of an extensive work up. Different clinical course of the disease reflects different aetiology in respective cases. These...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01624396
更新日期：1983-01-01 00:00:00
abstract：BACKGROUND:Adrenocortical carcinoma (ACC), a tumor that is rare among children, causes clinically evident hormonal disturbances. Imaging methods are used to stage disease and to plan surgical resection. OBJECTIVE:To describe the findings of the various imaging methods used to evaluate ACC. MATERIALS AND METHODS:We re...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050013
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:Awareness and preparedness to handle sedation, analgesia, and contrast-media complications are key in the daily radiology practice. OBJECTIVE:The purpose is to create a computerized simulator (PC-Windows-based) that uses a graphical interface to reproduce critical incidents in pediatric and adult patients u...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050744
更新日期：2000-05-01 00:00:00
abstract：:We present a case of herpes simplex encephalitis in an 8-year-old girl, in whom hyperintensity was detected on diffusion-weighted imaging (DWI) while conventional MRI sequences were normal 1 week after the onset of neurological symptoms. This case is rare in that a child beyond the neonatal period with focal herpes si...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-007-0577-z
更新日期：2007-11-01 00:00:00
abstract：:beta-Thalassaemia major is a hereditary haemolytic anaemia that is treated with multiple blood transfusions. A major complication of this treatment is iron overload, which leads to cell death and organ dysfunction. Chelation therapy, used for iron elimination, requires effective monitoring of the body burden of iron, ...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-007-0567-1
更新日期：2007-12-01 00:00:00
