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Society for Pediatric Radiology – Poster Archive

Showing 12 Abstracts.

Simmons Cephus

Final Pr. ID: Poster #: SCI-030

To identify the regulatory process for an innovative device that will create an airtight seal around the anus during anintussusception reduction procedure Read More

Authors:  Simmons Cephus

Keywords:  Device, innovation, intussusception, balloon catheter, airtight

Burns Madisen,  Cao Joseph

Final Pr. ID: Poster #: CR-016

Ileocolic intussusception is a common diagnosis routinely treated by air or contrast enema in the pediatric setting. Cases become less common into the second decade of life with an inverse relationship with pathologic lead points as the inciting culprit. Idiopathic ileocolic intussusception in young pediatric patients has been correlated with seasonality and viral infections, leading to the hypothesis that lymphoid hypertrophy in the terminal ileum acts as the primary lead point in that patient population. Pediatric radiologists are vigilant in evaluation of underlying pathologic lead points in the older population including mechanical causes (Meckel diverticula, polyps, duplication cysts), lymphoma, or hematomas from bleeding disorders (IgA vasculitis, hereditary coagulopathies). Adult surgeons often operate on patients with ileocolic intussusception given the much higher propensity for pathologic lead points. A 20-year-old patient presented to the emergency room with acute onset severe colicky abdominal pain that awoke her from sleep. CT of the abdomen and pelvis was performed showing a right lower quadrant ileocolic intussusception. Patient was otherwise stable and referred to pediatric radiology for successful air enema reduction and planned for further outpatient work up of possible lead points. The patient experienced recurrence of symptoms 1 day later and was taken to the operating room where recurrent ileocolic intussusception was confirmed and ileocecetomy was performed. Pathologic examination of the specimen obtained during surgery revealed reactive lymphoid hyperplasia and multiple reactive mesenteric lymph nodes. Read More

Authors:  Burns Madisen , Cao Joseph

Keywords:  Intussusception

Steinmeyer Laura,  Desoky Sarah,  Gilbertsondahdal Dorothy,  Morello Frank,  Udayasankar Unni

Final Pr. ID: Poster #: CR-003

Acute colocolic intussusception is a rare in the pediatric population and generally involves a pathologic lead point, which usually necessitates surgical or endoscopic intervention. No prior published reports have demonstrated presurgical imaging findings of colonic polyp in cases of pediatric colocolic intussusceptions. We will present two pediatric cases from our institution that feature colocolic intussusception with an intestinal polyp as a lead point, with a goal to demonstrate specific sonographic and MR findings. Read More

Authors:  Steinmeyer Laura , Desoky Sarah , Gilbertsondahdal Dorothy , Morello Frank , Udayasankar Unni

Keywords:  intussusception, colonic, polyp

Richer Edward,  Patel Dhruv,  Braithwaite Kiery,  Milla Sarah,  Loewen Jonathan

Final Pr. ID: Poster #: SCI-020

Determine if a simple scoring system can accurately predict the reducibility of ileocolic intussusceptions with therapeutic enema, and eventual surgical outcomes in those patients failing reduction. Read More

Authors:  Richer Edward , Patel Dhruv , Braithwaite Kiery , Milla Sarah , Loewen Jonathan

Keywords:  Intussusception, ultrasound

Sintim-damoa Akosua,  Eovaldi Benjamin,  Cohen Harris

Final Pr. ID: Poster #: EDU-038

Intussusception is a common cause of bowel obstruction in the pediatric population that is important for the radiologist to recognize. A delay in diagnosis can lead to bowel obstruction and necrosis and ultimately bowel perforation. Radiographs and sonography are the primary modalities for diagnosis of the condition. Computed tomography use is of limited use due to radiation exposure but may be helpful when a pathologic lead point is suspected. The purpose of this educational review is to describe the clinical and characteristic radiographic and sonographic findings of intussusception in the pediatric population. Classic ileocolic intussusceptions will be discussed as well as imaging features that may predict failure to reduce with air enema. Small bowel small bowel intussusceptions and intussusceptions with lead points will also be reviewed. Finally, intussusceptions due to gastrojejunostomy tubes will be discussed. Read More

Authors:  Sintim-damoa Akosua , Eovaldi Benjamin , Cohen Harris

Keywords:  intussusception

Whitson Dawn

Final Pr. ID: Poster #: EDU-018 (T)

The purpose of this education is to describe Therapeutic Enema reduction of Intussusception using Hydrostatic and Pneumatic methods. The benefits of Delayed Repeated Enema (DRE) instead of immediate surgical intervention after a failed reduction will be reviewed. Read More

Authors:  Whitson Dawn

Keywords:  Intussusception

Baud Catherine,  Saguintaah Magali,  Bolivar Perrin Julie,  David Stephanie,  Couture Alain,  Prodhomme Olivier

Final Pr. ID: Poster #: EDU-015

1. To describe intussusception US aspect
2. To diagnose the different anatomic forms
3. To detect a leadpoint at the intussusceptum apex
4. To provide sonographic prognostic criteria
5. To recognize benign small bowel intussusception
6. To desmontrate US impact in the therapeutic management
Read More

Authors:  Baud Catherine , Saguintaah Magali , Bolivar Perrin Julie , David Stephanie , Couture Alain , Prodhomme Olivier

Keywords:  Intussusception, Ischemia, Lymphoid hyperplasia, Burkitt lymphoma, Meckel diverticulum

Downs Elissa,  Baldridge Alan,  Dietz Kelly

Final Pr. ID: Poster #: SCI-020

Gastrojejunostomy (GJ) tubes are a convenient way to provide nutrition to children with complex medical issues. A known complication is development of a small bowel intussusception. We perceived an increase in GJ tube intussusceptions (GJIs) at our quaternary care hospital. The purpose of our study was to identify cases of GJI, risk factors for development, and determine if there was a safety device issue. Read More

Authors:  Downs Elissa , Baldridge Alan , Dietz Kelly

Keywords:  Gastrojejunostomy, Intussusception, Safety

Kim Jane,  Chun Jeannie,  Kim Wendy,  Morin Cara,  Shet Narendra

Final Pr. ID: Poster #: CR-043

Postoperative intussusception is a rare complication with a reported rate of 0.01-0.25% in children following laparotomy, accounting for 5-10% of postoperative bowel obstruction. We present a case of a 6-month-old infant with increasing abdominal fullness over several weeks who was found to have a large left renal mass. Following surgical resection of an atypical cellular form of Congenital Mesoblastic Nephroma, the patient developed abdominal distension and was presumed to have a postoperative ileus. Due to unexplained persistent hypertension following surgery, MR Angiogram of the Abdomen was performed to evaluate the renal arteries. On this MR exam, a right lower quadrant ileocolic intussusception was identified. Air enema intussusception reduction attempt was unsuccessful, and laparotomy was performed with successful reduction. We review the literature on pediatric postoperative intussusception including the variety of initial surgical operations, clinical symptoms, intussusception type, treatment, and patient outcomes. Read More

Authors:  Kim Jane , Chun Jeannie , Kim Wendy , Morin Cara , Shet Narendra

Keywords:  Intussusception, Postoperative, MRI

Alhashmi Ghufran,  Yang Joseph,  Amirabadi Afsaneh,  Aquino Michael

Final Pr. ID: Paper #: 091

Background: Prior studies have shown significant discrepancy between the initial radiologist and pediatric radiologist interpretation of imaging exams performed on pediatric patients. Studies specifically focused on the rate of discrepancy of ultrasound (US) exams for suspected appendicitis and intussusception are deficient.
Objective: To determine the agreement and discrepancy rates, and the clinical impact of discrepancies in the diagnosis of appendicitis and ileocolic intussusception between initial US performed at referring community hospitals and second (2nd) opinion US performed at an academic pediatric tertiary care hospital.
Read More

Authors:  Alhashmi Ghufran , Yang Joseph , Amirabadi Afsaneh , Aquino Michael

Keywords:  Second Opinion, Appendicitis, intussusception

Braithwaite Kiery,  Patel Dhruv,  Loewen Jonathan,  Milla Sarah,  Richer Edward

Final Pr. ID: Poster #: SCI-021

Determine if the length of time between diagnosis of an intussusception and therapeutic enema, or reported length of symptoms, is associated with lower enema success rates or higher rates of complicated surgery and bowel resection.

Read More

Authors:  Braithwaite Kiery , Patel Dhruv , Loewen Jonathan , Milla Sarah , Richer Edward

Keywords:  Intussusception, ultrasound

Patel Dhruv,  Loewen Jonathan,  Richer Edward

Final Pr. ID: Paper #: 098

Ileocolic intussusception is a common cause of intestinal obstruction in young children. Most patients undergo image-guided enema reduction followed by a surgical reduction in enema fails. Many factors associated with decreased enema success have been described in the literature, although a concise scoring system to identify patients who are at risk for surgical intervention and complications does not exist. The goal of this project was to develop a scoring system to identify patients who are at increased risk for enema failure and surgical complications. Read More

Authors:  Patel Dhruv , Loewen Jonathan , Richer Edward

Keywords:  Ileocolic Intussusception, Image guided therapeutic enema