Pediatric pathology involving the jejunum is more common than one might initially expect. Early recognition of the important imaging characteristic, atypical findings, and useful imaging tools/techniques in the evaluation of jejunal pathology is important in prompt diagnosis and management of these patients. In this educational exhibit we will present a series of cases involving pathology of the jejunum encountered in the pediatric population. We will focus on important pathologies affecting a difficult to image and sometimes forgotten portion of the intestine. A range of acute, emergent and post-surgical cases are presented. Using an interactive, quiz based approach we will discuss the following pediatric pathologies that may affect the jejunum of pediatric patients from neonates to teenagers with multimodality imaging and pathologic examples: Atresia Meconium plug syndrome Pneumatosis Enteritis Foreign body Small bowel intussusception Lymphoma Ischemia/shock Hernia Graft versus host disease Trauma Vasculitis Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Brahee Deborah, Towbin Alexander
Keywords: Gastrointestinal, Pediatric, Imaging
Physeal injuries can result in premature physeal fusion. MR imaging is useful for mapping these bony physeal bridges. Resection of the bony bridge does not reliably restore normal physeal function. We have observed subtle loss of the normal low signal intensity line of the zone of provisional calcification (ZPC) extending beyond areas of physeal bar formation in some patients with prior growth plate fractures. This loss is a marker of disrupted endochondral ossification and likely reflects a more extensive region of physeal damage that might be used to better predict treatment outcomes. Given the subjectivity of visual ZPC assessment, we sought to develop a quantitative 3D map of the periphyseal area of the distal radius using a high resolution 3D fast/turbo spin echo sequence. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Brahee Deborah, Chan Andrea, Emery Kathleen, Cornwall Roger, Maloney Thomas