Pediatric radiology
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Pediatric radiology · Nov 1995
Case ReportsTraumatic abdominal pseudoaneurysm secondary to child abuse.
Traumatic injury to the descending thoracic and abdominal aorta is uncommon in children and is usually secondary to recognized blunt trauma. Child abuse has not been previously reported as a cause. We report a 3-year-old boy who was kicked in the abdomen by his father. A resulting pseudoaneurysm was successfully resected.
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Pediatric radiology · Nov 1995
Case Reports Meta AnalysisLymphatic air embolism: a new hypothesis regarding the pathogenesis of neonatal systemic air embolism.
Objective. Neonatal systemic air embolism (NSAE) has been thought to result from introduction of air into the pulmonary veins through hypothesized alveolar-capillary fistula. The objective of this paper is to reassess the distribution of intravascular air visualized radiographically in this entity. ⋯ PIE was found to be a very common associated finding in NSAE. Based on our current knowledge of pulmonary lymphatics, radiographic anatomy, and the lymphatic location of PIE, we propose that air within the pulmonary lymphatic system (PIE) gains access to the systemic venous system via lymphatic ducts, which results in the clinical entity NSAE. This readily explains the venous predominance of air in NSAE.
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Pediatric radiology · Nov 1995
Case ReportsLocalized Langerhans cell histiocytosis of bone: treatment and follow- up in children.
We report a case of Langerhans cell histiocytosis (LCH) involving the right scapula in a 4-year-old child. Because of progressive shoulder pain and immobility methylprednisolone was injected directly into the lesion under computed tomography (CT) guidance. ⋯ We consider intralesional corticoid instillation a safe method when performed under CT guidance. For initial evaluation and follow-up, MRI and US yielded reliable results in comparison to plain films and CT, thus helping to reduce the radiation dosage in children.
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Pediatric radiology · Nov 1995
Case ReportsTransumbilical intravascular retrieval of an umbilical artery catheter.
We present a rare case of a broken umbilical artery catheter retrieved via a transumbilical approach with biopsy forceps.
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Pediatric radiology · Nov 1995
Case ReportsIleocolic intussusception presenting with bilious vomiting due to extrinsic duodenal obstruction.
We present a case of a child presenting with bilious vomiting due to extrinsic duodenal obstruction by an ileocolic intussusception. The clinical presentation, radiographic findings, and use of sonography are discussed.