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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 9 (1980), S. 199-206 
    ISSN: 1432-1998
    Keywords: Acute abdomen ; Intussusception ; Abdominal radiography ; Barium enema ; Bowel obstruction ; Mass lesion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In order to reassess the diagnostic reliability of the abdominal plain film examination in suspected intussusception, the findings in 100 consecutive cases of this disorder were analysed. Then, these were compared with the same number of cases in which the diagnosis had been rejected by means of barium enema. It was found that a positive plain film diagnosis of intussusception was possible in 89 patients. In 11 cases inconclusive plain film findings called for supplementary barium enemas to establish the diagnosis. In the reference group intussusception was excluded on the basis of plain film findings alone in 74% of cases. In the remaining 26% of patients a barium enema proved necessary to reject the diagnosis of suspected intussusception.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 3 (1975), S. 6-11 
    ISSN: 1432-1998
    Keywords: Barium enema ; adynamic ileus ; mechanical ileus ; intestinal obstruction ; follow thorugh examination ; reflux small bowel examination
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In cases with obscure abdominal symptoms, potentially obstructive in nature, barium enema constitutes a valuable supplement to the routine abdominal plain film examination. The method, extended to include a reflux examination of the distal part of the small bowel, offers an important alternative to the frequently employed follow through examination, whenever the indications for immediate surgical exploration remain conditional. In the hands of radiologists accustomed to hydrostatic reduction of intussusception, the procedure yields a fast and safe differentiation between adynamic and mechanical ileus.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1998
    Keywords: Adrenal gland ; adrenal haematoma ; adrenal haemorrhage ; haemorrhagic necrosis of the adrenal ; radiographic examination of the adrenal
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Up to 1970 only 13 fully verified and sucessfully treated cases of neonatal adrenal haemorrhage were on record. As uniform diagnostic and therapeutic guiding principles are still lacking, out experience of 24 consecutive cases appears worth presentation. — The most frequent clinical signs were a palpable mass in 21 cases, jaundice in 14 patients and urinary infection or sepsis in 10 neonates. —Intravenous urography revealed the diagnosis with a reasonable degree of reliability in all our cases. No additional information of significance was obtained at aortography, employed in 2 of our cases. — Surgical exploration with drainage of the haematoma or adrenalectomy was performed in 18 cases, 6 were treated conservatively. — Recovery was uneventful in all but for one conservatively treated patient. In this case death was caused by a second profuse bleading, which proved fatal in spite of all life saving efforts.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 4 (1975), S. 43-46 
    ISSN: 1432-1998
    Keywords: Intravenous urography ; non-functioning kidney ; upper urinary tract dilatation ; voiding cysto-urethrography ; posterior urethral valve ; bladder outflow obstruction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In a series of 65 male infants and children, all with the diagnosis of posterior urethral valves, pre- and postoperative urographic findings were reviewed. In addition changes occurring in the bladder, and the implication of vesico-ureteral reflux were assessed. — Preoperatively diagnosed impairment of kidney function and concommitant dilatation of the upper urinary tract, with some exceptions, remained fairly unchanged at postoperative examinations In the case of marked vesico-ureteral reflux, permanent kidney function annihilation was significantly commoner than with slight or no reflux. — Although, as a rule, both the upper urinary tract and the bladder were affected, there were cases of posterior urethral valves with a normal appearing bladder. As the intravenous urography do not exclude the urethral abnormality, voiding cysto-urethrography has to be included in the primary radiological exploration of all cases with urological problems.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 1 (1973), S. 24-27 
    ISSN: 1432-1998
    Keywords: Ectopic pancreas ; pain ; diabetes mellitus ; pyloric stenosis ; pancreatic insufficiency ; metaphyseal chondrodysplasia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Details of four patients who had ectopic pancreatic tissue are reported. One patient had diabetes mellitus and the ectopic pancreas was situated in the pyloric antrum. The pyloric antrum was also the location of the ectopic pancreas in the second child who had dyspeptic symptoms. In a third patient, in whom the ectopic pancreatic tissue lay in the pyloric canal, there was associated hypertrophy of the pyloric muscle and obstruction to gastric emptying. The fourth child had ectopic pancreatic tissue in the duodenum: this was not associated with obstruction but there was, coincidentally, exocrine pancreatic insufficiency neutropenic and metaphyseal chondrodysplasia.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 11 (1981), S. 129-138 
    ISSN: 1432-1998
    Keywords: Large bowel volvulus ; Intestinal obstruction ; Abdominal pain ; Radiography ; Barium enema
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Four pediatric patients with volvulus of the right colon, and three others with twisting of the sigmoid colon are reported. The clinical manifestations, mainly pain, were vague. Radiological plain film findings were occasionally characteristic, but were in the majority of cases equivocal. An active radiological approach including a supplementary barium enema in any patient with inconclusive plain abdominal roentgenograms will, in addition to other unexpected diagnoses, reveal rare cases of large bowel volvulus. Elective surgical procedures, carried out on viable bowel do not necessarily provide advantages over a non-operative approach. In addition spontaneous reduction of the volvulus may result in permanent cure.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 13 (1983), S. 5-9 
    ISSN: 1432-1998
    Keywords: Abdominal emergency ; Intestinal obstruction ; Bowel perforation ; Barium enema ; Barium meal ; Barium peritonitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Barium peritonitis secondary to perforation of the gut is an infrequent complication of radiological G-I tract examinations. It is thought to imply a high mortality rate. However, this conception seems to be based on data obtained during the early 1950's. More recent case reports and small series indicate a more favourable prognosis depending on effective antibiotics and successful maintenance of severily ill patients. The scant information concerning the fate of pediatric cases warranted presentation of the experience of 5 patients, who all survived. Our approach to treatment and the suggested use of barium studies, in particular barium enema, in obscure abdominal emergency cases are offered.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 14 (1984), S. 304-309 
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Although blunt abdominal trauma is common in children, the G-I tract is involved only rarely. However, this paper deals with a series of 24 cases in whom a hollow viscus was injured. We present the radiological and operative findings as well as the results of subsequent radiological workup in patients who had no surgery. Contrary to the recent trend which stresses early abdominal CT as critically important for guiding treatment we have retained a more conservative attitude. Our present protocol includes plain radiography frequently combined with sonographic screening of the abdomen. In patients with stable vital signs and when necessary, we follow up with scintigraphy. CT is reserved for complicated cases with obscure clinical manifestations which do not fit the plain radiological findings and also cases running an unexpected course.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 14 (1984), S. 413-418 
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A simple and exact method for evaluation of suspected or overt slip of the femoral capital epiphysis is revived. This procedure gives an estimate of all degrees of abnormality from the early stages to those with gross deformity. In our experience slip of the femoral capital epiphysis is always posterior and in approximately 80% of cases bilateral. Therefore, both hips should be examined whenever this condition is suspected. The method provides for examination of each hip separately. Strict adherence to the procedure also provides a precise way of assessing the femoral anteversion angle, significant in many orthopedic disorders. For the latter purpose access to a particular nomogram is mandatory.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric radiology 10 (1980), S. 83-86 
    ISSN: 1432-1998
    Keywords: Intussusception ; Hydrostatic reduction ; Barium enema ; Reduction rate ; Leading points
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A series consisting of 658 radiologically diagnosed intussusceptions is analysed. Hydrostatic reduction was successful in 85.2% of cases, the incidence of failure amounting to 14.8%. Analysis demonstrated a marked difference in reduction rate in different age groups. The lowest rate of success was recorded in children over 5 years of age, the group with the highest incidence of leading points. The next lowest rate of success was in those below age 1 year where the frequency of failure was more than 50% higher than in the ages between 1 and 5 years. However, the rate of leading points was approximately the same in both the latter groups and close to the average in entire series. There is no reason to refrain from barium enema reduction in any age group although special care should be exercised in the neonate. With a reasonable experience of method, the risk of overlooking a surgically significant lesion is negligible.
    Type of Medium: Electronic Resource
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