Pediatric radiology
-
We present a newborn infant who swallowed an endotracheal tube during resuscitation. A review of previous reports indicates that the swallowed tube does not significantly compromise respiration and the infant need suffer little injury if the tube is removed in an unhurried manner.
-
Pediatric radiology · Oct 1979
Case ReportsA case of neurofibromatosis with severe osseous disease of the thoracic spine.
A case of neurofibromatosis in a 7-year-old boy from Greenland is presented. The patient suddenly developed a severe thoracic scoliosis because of a total luxation of the upper thoracic vertebrae caused by erosion from soft tissue tumours in the region. Tomography revealed the bone changes, and CT whole-body scanning showed the extent of the soft tissue tumours and also the destruction of the vertebrae. The diagnosis was verified by biopsy.
-
The roentgenograms in seventy-two (72) patients with all forms of rickets were reviewed in an attempt to determine whether specific forms of rickets could be identified and classified roentgenographically. All cases were clinically proven and after analyzing the roentgenographic changes in all of the patients, it was determined that such a scheme was possible. This scheme allows one to either diagnose the specific type of rickets or offer a short, pertinent differential diagnosis from roentgenograms alone.
-
Pediatric radiology · Oct 1979
The paradoxial movement of the mediastinum. A diagnostic sign of foreign-body aspiration during childhood.
The paradoxical movement of the mediastinum, in relation to the respiratory cycle, is a valuable fluoroscopie sign in the evaluation of partial obstruction of air-flow through the trachea or larynx. Its recognition in the presence of the normal chest radiograms together with the clinical history of aspiration, is of importance in the diagnosis of a foreign body located above the tracheal bifurcation. ⋯ Various etiologies are discussed in which this sign is also seen. The experience with 18 pediatric patients is presented and 3 cases are outlined in details.
-
Pediatric radiology · Jul 1979
Case ReportsSystemic air embolism in the respiratory distress syndrome of the newborn.
Details of 25 cases of neonatal systemic air embolism, including three of our patients, are reviewed. This rare complication of respiratory distress syndrome (RDS) was observed in 21 premature infants and 4 fullterm newborns, of whom 23 required intermittent positive pressure ventilation (IPPV). ⋯ The outcome was lethal in 24 cases, only one patient survived. Two main pathogenic mechanisms are discussed; entrance of air from ruptured alveoli into the lung capillaries and introduction of air via catheters in umbilical vessels.