By Samuel Stafrace, Johan G. Blickman
This publication comprehensively stories imaging of the pediatric gastrointestinal tract and accent digestive organs from a realistic technique.
Starting with a short dialogue on recommendations this is often via a number of accomplished chapters masking emergency/acute pediatric stomach imaging. a chain of conventional anatomically established chapters at the oesophagus, abdominal, small bowel, colon and accent organs then persist with. every one bankruptcy rigorously considers the function of the at the moment on hand imaging options and discusses and illustrates diagnostic dilemmas. The ultimate bankruptcy makes a speciality of pediatric interventional methods played with imaging assistance.
Since the 1st variation, the textual content has been absolutely up to date and new illustrations integrated. opposed to the history of speedy advances in imaging know-how and the targeted facets of gastrointestinal imaging in young children and babies, this quantity will function an important reference for basic and pediatric radiologists in addition to for radiologists in education, neonatologists and pediatricians.
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Additional info for Radiological Imaging of the Digestive Tract in Infants and Children
Free air within the peritoneal cavity is observed (arrows) in this neonate with ileal atresia. No bowel distension is observed. A patent bowel perforation was found at surgery Colonic atresia is classified into three types: type I consists of mucosal atresia with an intact bowel wall and mesentery (web); type II consists of atretic ends separated by a fibrous cord; and type III consists of atretic ends separated by a V-shaped mesenteric gap. In the ascending and transverse colon, colonic atresia type III predominates.
A “windsock” appearance may be observed with membranous atresias. Calcification of meconium peritonitis due to in utero bowel perforation is present in about 12 % of atresia cases and can be diagnosed antenatally by sonography. Diagnosis of colonic atresia is an indication for urgent surgical intervention because this anomaly has a higher risk of perforation (10 % incidence) than seen in other intestinal atresias, presumably as a result of a closed loop obstruction from the intact ileocecal valve (Juang and Snyder 2012).
30 a b Fig. 20 High intestinal obstruction. (a) Plain radiograph of a newborn infant that shows a gasless abdomen with air seen only in the stomach. Despite the lack of intestinal air, there is distension of the flanks and elevation of the diaphragms. (b) Sonography demonstrates the abdominal distension to be produced by fluid-filled intestinal loops. 1 Distal Small Bowel Obstruction Ileal atresia is an important cause for low intestinal obstruction, representing approximately 50 % of small bowel atresias.