Showing 2 Abstracts.
Colonic volvulus is an uncommon but often catastrophic condition in children. Imaging studies including plain radiographs, ultrasound, fluoroscopy, and computed tomography are commonly employed to evaluate these patients. While most radiologists are familiar with malrotation and midgut volvulus, colonic volvulus is an underappreciated cause of an acute abdomen in children. Symptoms of colonic volvulus may be vague, and presentation is often delayed. While plain radiographs may be highly suggestive in some patients, they are often nonspecific. Fluoroscopy and CT are usually diagnostic and can direct appropriate operative management. The purpose of this exhibit is to present the imaging appearances of cecal and sigmoid volvulus in children, emphasizing the plain radiographic features suggestive of these entities and the diagnostic fluoroscopic and CT features that allow definitive diagnosis. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Miller Stephen, Scrugham Jeffrey
Congenital generalized lipodystrophy, also known as Berardinelli-Seip syndrome, is a rare autosomal recessive disorder associated with osteosclerosis and cystic intramedullary bone lesions. However, the transition from generalized osteosclerosis in the young patient to the development of cystic intramedullary bone lesions in areas converting from red to yellow marrow in the growing child has not been previously described. We present a young man with congenital generalized lipodystrophy, followed in our clinic from age 5 years through age 14 years, and document the development over time of dramatic cystic lesions within previously sclerotic long bones. The location of these intramedullary bone cysts appears to mirror the transition of red (hematopoietic) to yellow (fatty) marrow in the maturing child. Recognition of this pattern may affect recommended physical activity and subsequent orthopedic management. Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Miller Stephen, Scrugham Jeffrey, Pivnick Eniko
Keywords: lipodystrophy, bone cyst, marrow