RESUMO
As the utilization of MRI in the assessment for paediatric appendicitis increases in clinical practice, it is important to recognize alternative diagnoses as the cause of abdominal pain. The purpose of this review is to share our institution's experience using MRI in the evaluation of 510 paediatric patients presenting with suspected appendicitis over a 30 month interval (July 2011 to December 2013). An alternative diagnosis was documented in 98/510 (19.2%) patients; adnexal pathology (6.3%, n = 32), enteritis-colitis (6.3%, n = 32), and mesenteric adenitis (2.2%, n = 11) comprised the majority of cases. These common entities and other less frequent illustrative cases obtained during our overall institutional experience with MRI for suspected appendicitis are reviewed.
Assuntos
Abdome Agudo/diagnóstico , Apendicite/diagnóstico , Imageamento por Ressonância Magnética/métodos , Pediatria/métodos , Doença Aguda , Doenças dos Anexos/diagnóstico , Adolescente , Criança , Pré-Escolar , Diagnóstico Diferencial , Enterocolite/diagnóstico , Feminino , Humanos , Masculino , Linfadenite Mesentérica/diagnóstico , Sensibilidade e EspecificidadeRESUMO
Neonatal peritoneal calcifications usually suggest a diagnosis of meconium peritonitis, but in this case, a premature baby girl, peritoneal calcifications were caused by hydrometrocolpos secondary to imperforate hymen, a rare association. The patient presented with respiratory distress and ascites and demonstrated abdominal calcifications on plain film. Other radiographic work-up revealed hydrometrocolpos without evidence of gastrointestinal tract obstruction. The patient was diagnosed and treated for imperforate hymen; she was recovered fully.
Assuntos
Calcinose/diagnóstico por imagem , Calcinose/etiologia , Doenças dos Genitais Femininos/complicações , Hímen/anormalidades , Doenças do Prematuro/diagnóstico por imagem , Doenças Peritoneais/diagnóstico por imagem , Doenças Peritoneais/etiologia , Feminino , Humanos , Recém-Nascido , RadiografiaRESUMO
We report the case of an infant with congenital colonic stenosis in the ascending colon and review the literature regarding this uncommon condition.