12 - Paediatric Abdomen Radiology

12 - Paediatric Abdomen Radiology - Paediatric Abdomen...

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Paediatric Abdomen Radiology
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Case 1
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Esophageal atresia
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Associated with VACTERL disorders. Most commonly associated with TEF. Infants present shortly after birth. Xray findings: Coiled NG tube. If there is bowel gas in the abdomen. . Associtated with TEF.
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Tracheo-esophageal fistula Sx: Coughing, and choking during feeding. Recurrent pneumonia. Respiratory distress.
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Case 2
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Duodenal atresia
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Most common cause of congenital duodenal obstruction is duodenal atresia. Usually at the region of the ampulla of vater. Associated disorders: Down syndrome. malrotation., heart disease, renal anomalies, TEF, VACTERL. Sx: bilious vomiting in the first day of life.
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X-ray findings: Double bubble sign (dilated stomach and duodenal bulb) No gas seen distally.
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Case 3
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Differential diagnosis Meconium ileus. Meconium plug. Hirschsprung’s disease
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Meconium ileus
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Caused by thick meconium that adheres to the small bowel wall causing obstruction, usually at the level of the ileocecal valve. Almost all patients with meconium ileus have cystic fibrosis 10-15% of CF patients present with meconium ileus. Small bowel obstruction, dilated small bowel loops, soap- bubble pattern of bowel gas (air mixed with meconium), often in the right lower quadratn. Microcolon (unused colon).
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This note was uploaded on 01/21/2012 for the course PDBIO 305 taught by Professor Woods,a during the Fall '08 term at BYU.

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12 - Paediatric Abdomen Radiology - Paediatric Abdomen...

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