Lulkin Solange,  Sancho Cano Julieta,  Lipsich Jose

Final Pr. ID: Poster #: SCI-002 (S)

The lower GI study with water soluble contrast, is used to evaluate the remnant colon. The population to study includes patient with anorectal malformation, stenosis due to necrotizing enterocolitis, bowel resections or to plan the ostomy closure.
There are scarce adverse effects reported in the literature.

Case: We present a 7-month-old boy with operated cardiopathy and the prior story of necrotizing enterocolitis with bowel perforation a few days after the birth, with surgical intervention resolution. By the time of the study, our patient had ileostomy and colostomy in plan of reconnection, for that reason, the GI study was planned.
The patient was lying down face up in the table. Plane X Ray of the abdomen was taken as a first move of the examination (normal air distribution, no abnormal radiopacities). Then a probe with a balloon was introduced in to the distal ostomy and the balloon was inflated with 5 ml of air to prevent the loose of the probe. A syringe of 20 ml was connected, and the solution was injected (1/3 ml Triyosom GI* and 2/3 ml water) with a moderated hydrostatic pressure. During the injection fluoroscopy was given and images of the distal colon were seen. No fistulas or loose of contrast was evidenced, neither contrast out of anus was seen, as a result of stenosis in that point. We emptied the distal colon by taking out the contrast.
3 hours after the practice the patient started vomiting, abdominal distention and signs of sepsis. He was admitted at the emergency. Finally, he died 6 hours after the GI study had been performed. Analytic results of the blood: 2/2 positive to Gram Negative. Autopsy informed: no GI signs of bacterial translocation.

*Meglumina diatrizoato-diatrizoico acido.
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Authors:  Lulkin Solange , Sancho Cano Julieta , Lipsich Jose

Keywords:  Lower GI study, children, Adverse Effects

Khumalo Zonah

Final Pr. ID: Poster #: EDU-061

Disorders of the large airways occur frequently in the pediatric population.
Affected pediatric patients typically present with symptoms related to airway obstruction, including stridor, wheezing and dyspnea.
Infants and children are particularly vulnerable to respiratory compromise because of the smaller size of their airways.
As radiologists, we are pretty good at commenting on the lungs, pleural spaces and cardiomediastinal contours, but we often neglect or forget to take a look at the airways.

By definition, the upper airways are the air passages from the nasal cavity to the cervical trachea above the thoracic inlet. The lower airways begin below the thoracic inlet and include the thoracic trachea and bronchi. The spectrum of airways disorders is vast and includes both upper and lower airways anomalies, which can be congenital or acquired.

This educational exhibit will review the imaging findings of congenital lower airways anomalies, both on conventional radiography and cross-sectional imaging. I will also highlight radiographic features suggesting large airway pathology.

The following congenital lower airways anomalies will be reviewed:

Laryngeal cleft
Tracheal bronchus
Congenital tracheal stenosis
Congenitally short trachea
Congenital bronchial stenosis
Tracheobronchomalacia
Bronchial agenesis/hypoplasia/aplasia Read More

Authors:  Khumalo Zonah

Keywords:  congenital, lower, airways

Berger Jonathan,  Thomas Anna,  Teague Clint

Final Pr. ID: Poster #: CR-052

* To present a rare case of rectosigmoid venous malformation in a 15-year old male patient without Klippel Trenaunay Syndrome.
* To review common syndromic and nonsyndromic causes of pediatric lower gastrointestinal bleeding with presentation of relevant imaging.
* To discuss the classic imaging features and various treatment options for colorectal venous malformations. Read More

Authors:  Berger Jonathan , Thomas Anna , Teague Clint

Keywords:  lower gastrointestinal bleeding, vascular malformations of the lower GI tract

Patel Falguni

Final Pr. ID: Poster #: CR-002 (R)

To demonstrate the finding of a Femoral artery Pseudoaneurysm on a Left Lower extremity venous and arterial doppler ultrasound and under Interventional Radiology sonographically guided compression of the neck of the Pseudoaneurysm and guided injection of thrombin into the Pseudoaneurysm resulted in successful thrombosis of a Pseudoaneurysm. Follow up ultrasounds to document resolving of a Left Femoral artery Pseudoaneurysm in an infant. Read More

Authors:  Patel Falguni

Keywords:  Doppler Lower extremity Ultrasound, Pseudoaneurysm, Interventional procedure.

Patel Falguni

Final Pr. ID: Poster #: CR-002 (T)

Purpose: To demonstrate Pediatric Acute Appendicitis with a secondary sign of an early perforation based on ultrasound findings. Read More

Authors:  Patel Falguni

Keywords:  Appendix, Right Lower Quadrant, Appedicolith