Massé-bouillé Guy-anne,  Taddeo Danielle,  Jamoulle Olivier,  Frappier Jean-yves,  Wilkins Jean,  Miron Marie-claude

Final Pr. ID: Poster #: CR-060

Anorexia nervosa is a condition with a wide range of presenting signs and symptoms. Our report describes an adolescent suffering from restrictive anorexia nervosa (no purging) who presented with a Body Mass Index (BMI) of 9,73 kg/m² and asymptomatic spontaneous subcutaneous emphysema, pneumomediastinum, pneumoperitoneum and pneumatosis intestinalis. History revealed fatigue, lower limbs weakness, jaw pain and swollen neck over the last few weeks but no abdominal complaints. She was successfully managed with supportive care and progressive enteral nutrition leading to a favourable outcome with significant weight gain (BMI of 12,1 kg/m² at discharge). Her clinical course was complicated by refeeding syndrome and Rotavirus gastro-enteritis leading to a pre-shock state. We hypothesize that her clinical presentation was attributable to severe chronic undernourishment. Previous reports support the theory that severe undernourishment can lead to altered interstitial wall composition, which could result in migration of air through weakened alveolar or intestinal wall. This case is of interest given that spontaneous pneumoperitoneum and pneumatosis intestinalis have rarely been described in association with anorexia nervosa, especially in an asymptomatic patient. In addition, her favorable outcome suggests that these patients can effectively be managed with conservative care. Read More

Authors:  Massé-bouillé Guy-anne , Taddeo Danielle , Jamoulle Olivier , Frappier Jean-yves , Wilkins Jean , Miron Marie-claude

Keywords:  anorexia nervosa, pneumatosis intestinalis, pneumoperitoneum

Milla Sarah,  Cantu Cera,  Richer Edward,  Braithwaite Kiery,  Linam Leann,  Riedesel Erica,  Loewen Jonathan,  Simoneaux Stephen

Final Pr. ID: Poster #: SCI-013

Idiopathic thickening of the pyloric muscle can occur in young infants, causing projectile vomiting, electrolyte abnormalities, and necessity for surgical intervention to relieve the gastric outlet obstruction. Case reports have been published describing infants with HPS who also have portal venous gas (PVG) visualized within the liver. The presence of PVG in other clinical scenarios often indicates a severe and potentially life threatening bowel condition. The purpose of this study was to determine the incidence of infants with hypertrophic pyloric stenosis (HPS) and concurrent portal venous gas (PVG), as well as whether there are unique clinical features or different outcomes in the HPS patients with PVG versus without PVG. Read More

Authors:  Milla Sarah , Cantu Cera , Richer Edward , Braithwaite Kiery , Linam Leann , Riedesel Erica , Loewen Jonathan , Simoneaux Stephen

Keywords:  pyloric stenosis, portal venous gas, pneumatosis

Chern Joshua,  Malik Archana,  Mallon Mea,  Urbine Jaqueline,  Poletto Erica,  Kazmi Faaiza,  Faerber Eric

Final Pr. ID: Poster #: EDU-098

Necrotizing Enterocolitis (NEC) is a potentially fatal disease that is commonly encountered in pediatric hospitals. Early diagnosis is of utmost importance, and thus, radiologists must be aware of the varied imaging findings seen in association with NEC and its complications. Read More

Authors:  Chern Joshua , Malik Archana , Mallon Mea , Urbine Jaqueline , Poletto Erica , Kazmi Faaiza , Faerber Eric

Keywords:  NEC, pneumatosis, pneumoperitoneum