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. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Lulkin Solange, Sancho Cano Julieta, Lipsich Jose

Keywords: Lower GI study, children, Adverse Effects

Report the case of a 9-year-old girl with special education needs, who consults for neuro-cognitive symptoms, short stature, brachydactyly and obesity. The diagnosis was made on the basis of pathognomonic imaging findings and laboratory tests showing hypocalcemia, hyperphosphatemia and increased serum parathyroid hormone (PTH) levels. Due to the hereditary nature of this rare disease, it is important to say that her mother has a similar phenotype. Pseudohypoparathyroidism 1A it is a rare disease, an autosomal dominant familial metabolic disorder with a variable imprinting pattern and inheritance. Results from a specific deficiency of a subunit of stimulatory G protein, manifested by resistance to parathormone and a characteristic phenotype, referred to as Albright hereditary osteodystrophy (AHO). Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Innocente Natalia, Anoni Maria Clara, Galeano Monica, Lipsich Jose

Keywords: Albright hereditary osteodystrophy, Pseudohypoparathyroidism

Liver tumors account for 1-4% of all pediatrics malignancies. Most primary liver tumours in children are malignant, but one-third are benign. Mesenchymal hamartoma of the liver, though rare is the second most frequent benign liver mass in children. Generally occurs in children less than 2 years of age with a male preponderance (male: female, 2:1). We report a case of mesenchymal hamartoma of the liver in an 11 month-old female presented at the emergency department with abdominal distension of two months of evolution associated with intermittent vomiting, diarrhea and chronic malnutrition. Abnormal labs included elevated alpha-fetoprotein levels (15006 ng/ml) and non detectable beta Human Chorionic Gonadotrophin. The liver function was normal. Imaging demonstrated an abnormal abdominal X-ray, with soft tissues mass enlargement and displacement of bowel. An ultrasound revealed a mixed mass (cystic-solid) liver in segment VII. On colour-Doppler flow imaging, there was evidence of increased vascularity. Contrast-enhanced CT scan of the abdomen in arterial and venous phases showed a large cystic mass in the left lobe of the liver, with peripheral solid tissue, very vascularized in both vascular secuences. Percutaneous biopsy was done and pathology confirmed mesenchymal hamartoma. The patient underwent left hepatectomy. The patient evolved successfully. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Infante Ignacio, Amoretti Natalia, Roa Cintia, Rizzi Ana, Lipsich Jose

Keywords: Cystic Mass, tumor, Imaging

To present a series of patients with pylephlebitis without a significant past medical history Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Crido Silvina, Bravo Monica, Lipsich Jose, Cermeño Claudia, Dardanelli Esteban, Moguillanky Slvia

Keywords: Pylephlebitis, portal vein thrombosis, omphalitis, appendicitis, ultrasonography

Gastrointestinal stromal tumors (GIST) in children are not well characterized, different adult rare entity. It corresponds to a heterogeneous group of lesions for correct classification requires histological, immunohistochemical evaluation and in some cases also adds to the cytogenetic diagnosis. We describe the findings of pediatric GIST. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Carmona Daniela, Erripa Jose, Lostra Juliana, Rizzi Ana, Dardanelli Esteban, Moguillanky Slvia, Lipsich Jose

Keywords: gastrointestinal stromal tumors, CD17 +, children, imaging

Aortic dissection in children is often associated with congenital heart disease (bicuspid aortic valve or aortic coarctation), collagenopathies or serious injuries. It rarely arises as a differential diagnosis in the presence of thoracic or abdominal pain in an apparently healthy child. Early diagnosis and treatment is crucial to their survival. Our purpose is describe the clinical and images characteristics that allowed to diagnose . Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Vargas M Cecilia, Crido Silvina, Quintero Karina, Alonso Jose, Rizzi Ana, Pibernous J, Lipsich Jose, Moguillanky Slvia

Keywords: aortic dissection, stent-grafts, imaging, Chronic hypertension