Showing 4 Abstracts.
Ovarian torsion is a very rare occurrence where the ovary becomes twisted, cutting off blood supply, and placing the ovary at risk of tissue death and loss of function. Appendicitis, although more common in the pediatric population, is still a relatively uncommon condition that can have grave consequences. Appendicitis secondary to ovarian torsion, in the instance where the ovary twists on its peduncle around the body of the appendix, is not only extremely rare, but puts the patient at risks for complications and consequences for both of these rare issues. This case report will tell the story of a 15-year-old girl including her initial presentation, clinical details, imaging, post-operative notes, and prognosis. Although a very atypical finding, this case highlights the importance of time and the particular dangers when dealing with two very critical diagnoses. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Hyde Hannah, Tutman Jeffrey, Blanco Ernesto
Keywords: Appendicitis, Torsion, Ovary
Several unique radiologic diagnoses occur with greater frequency in the Mountain West region of the United States. On account of the altitude, hypobaric hypoxic induced pathology can acutely affect those traveling to the region who are otherwise unaccustomed to the effects of elevation. Chronic hypoxia also has effects on those living in the area. The outdoor recreational activities available in the region (particularly skiing and snowboarding) also result in unique patterns of musculoskeletal injury. Lastly, the harsh winter conditions result in potential cold-weather injuries. We will review the radiologic findings and pathophysiology of these unique musculoskeletal, cardiopulmonary, and neurologic conditions not commonly encountered by radiologists practicing elsewhere. Table of Contents/Outline: I. High altitude pulmonary edema II. High altitude cerebral edema III. Frostbite IV. Ski and snowboard injuries V. Tick-borne illnesses (e.g., Rocky Mountain Spotted Fever) VI. Congenital heart disease at elevation VII. Sickle cell anemia/sickle cell trait and associated pathologies VIII. Cosmic, terrestrial, and ultraviolet radiation and associated risks IX. Hypoxia induced red marrow reconversion Read More
Meeting name: SPR 2022 Annual Meeting & Postgraduate Course , 2022
Authors: Boehnke Mitchell, Milla Sarah, Tutman Jeffrey
There is significant variation in the approach to diagnosing PCOS (polycystic ovarian syndrome), particularly in adolescents. PCOS, more recently referred to as hyperandrogenic anovulation, is a classic tried of oligomenorrhea and/or anovulation, hirsutism, and obesity. The Rotterdam criteria are widely used in the adult population, with diagnostic criteria including 2 of the following 3: ovulatory dysfunction, clinical and/or biochemical signs of hyperandrogenism, polycystic ovarian morphology on ultrasound. Although it is acknowledged that ultrasound is not necessary for diagnosing PCOS in adults if the first 2 criteria are met, there is sufficient controversy in adolescent literature that classic morphologic appearance in addition to one other criterion may not be diagnostic. Polycystic ovarian morphology (PCOM), the imaging correlate typically associated with the clinical diagnosis of PCOS, can be a normal finding in adolescents. Given that the criteria for the polycystic ovarian morphology (PCOM) remains controversial, it is important for a pediatric radiologist to understand the significance of PCOM in adolescents, and how radiology can best and most significantly add to the clinical picture. This presentation will provide a review of consensus guidelines for PCOS and PCOM, and best practices of describing findings of PCOM in adolescents. Novel approaches will also be discussed, including ongoing research in follicle counts and stromal volume with 3D ultrasound. Read More
Meeting name: SPR 2022 Annual Meeting & Postgraduate Course , 2022
Authors: Pradhan Nisha, Trenbeath Zachary, Tutman Jeffrey, Milla Sarah
Keywords: PCOS, PCOM, adolescent
Interrogation of the renal vasculature in the pediatric patient is challenging, requiring meticulous sonographic technique and attention to detail. Ultrasound, and Doppler sonography in particular, plays a key role in evaluation of suspected renal vascular abnormalities given its portability, availability, and lack of ionizing radiation. Attempts must be made to optimize the performance of this technically challenging examination. Additionally, the radiologist must be familiar with the frequently subtle findings in these examinations. The purpose of this exhibit is the educate the audience on the proper performance and interpretation of renal Doppler ultrasound. We will first review the normal vascular anatomy of the kidney and normal arterial and venous waveforms. Sonographic technique will be reviewed, including tips and tricks for optimizing image acquisition and including a review of appropriate technique for color and spectral Doppler interrogation. A case-based pictorial review will then follow, including the following diagnoses: 1. Renal artery thrombosis 2. Renal vein thrombosis 3. Renal artery stenosis, including discussion of congenital vs. acquired causes and associated syndromes 4. Manifestations of systemic processes in the renal vasculature (including patent ductus arteriosis, aortic coarctation, and LVAD) 5. Spectrum of abnormal vascular findings in renal transplants 6. Pseudoaneurysm and AV fistula 7. Nutcracker syndrome Read More
Meeting name: SPR 2022 Annual Meeting & Postgraduate Course , 2022
Authors: Montgomery Stormy, Kodger Nicole, Johnson Melissa, Harris Kelly, Tutman Jeffrey
Keywords: Renal, Doppler, Ultrasound