Girls with congenital adrenal hyperplasia can present with a wide variety of urogenital malformations. Understanding these malformations and the anatomical relations between the pelvic structures is paramount for surgical planning. Imaging of these patients can be done by various methods such as genitography, magnetic resonance or endoscopy. More recently some authors have begun to propose perineal ultrasound as an alternative for imaging of these patients for pre-operative planning. In this educational poster we will use perineal ultrasound images and detailed illustrations to: 1) Review the spectrum of genital and lower urinary tract malformations related to congenital adrenal hyperplasia in girls. 2) Explain the transperineal ultrasound technique and normal anatomy. 3) Explain the transperineal ultrasound findings and utility in girls with congenital adrenal hyperplasia. Contents: Normal anatomy Pathologic changes in congenital adrenal hyperplasia Review of what is relevant to the referring surgeon. Ultrasound technique Ultrasound findings in normal patients Ultrasound findings in congenital adrenal hyperplasia. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Takahashi Marcelo, Moreira Marcia, Motta Giovanna, Gual Fabiana, Soares Juliana, Davaus Taisa

Keywords: congenital adrenal hyperplasia, ultrasound, perineum

Ultrasonography is a very powerful non-invasive diagnostic tool widely employed for examining multiple organs and systems located both superficially and deeply. This is possible thanks to a wide range of transducers that work on different frequencies and sound lengths to explore all layers of anatomical structures. Nowadays, the reduction of exposure to ionizing radiation in children is advocated by the “as low as reasonably achievable” (ALARA) principle, and therefore, ultrasound (US) has become the main investigation tool in many assessments of lung pediatric disorders. The purpose of this educational exhibit is to describe the normal artefacts produced by LUS in a healthy lung to distinguish them from pathologic patterns and the application of LUS in pediatric diseases and procedures (ultrasound-Guided Lung Recruitment). Read More

Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023

Authors: Gual Fabiana, Sameshima Yoshino, Otto Debora, Braga Fernanda, Cardoso Mariana, Fernandes-ferreira Rafael, Souza Antonio

Keywords: Ultrasonography, Lung Diseases, ALARA