Mais conteúdo relacionado Semelhante a The images of GI tract emergencies in pediatrics (20) Mais de Thorsang Chayovan (20) The images of GI tract emergencies in pediatrics2. Outline: GI Tract Emergencies in Pediatrics
• Overview
• Anatomy and normal radiologic findings
• Features of intestinal obstruction in plain
abdominal radiographs
• The diseases: GI obstruction emergencies
3. GI Tract Emergencies in Pediatrics
• Chief complaints
– Abdominal pain
– Vomiting
– Abdominal distension
– Hematochezia
• Causes
Obstructions
Non-obstructions
4. GI Tract Emergencies in Pediatrics
Obstructions
Non-obstructions
• Pneumoperitoneum
• Necrotizing enterocolitis
• Acute appendicitis
• Acute pancreatitis
5. • Investigations
– Plain abdominal radiographs: supine and upright
– In bowel obstructions >> contrast examinations
– Ultrasonography
– CT
21. High Obstructions
• Gastric outlet obstruction
– Hypertrophic pyloric stenosis
– Gastric volvulus
– Pyloric atresia
• Duodenal obstruction
–
–
–
–
–
Duodenal atresia
Duodenal stenosis
Annular pancreas
Preduodenal portal vein
Midgut volvulus
• Jejunal obstruction
– Jejunal atresia
– Jejunal stenosis
Low Obstructions
• Distal small bowel
– Ileal atresia
– Meconium ileus
• Colonic obstruction
– Dysmotility state
• Meconium plug syndrome
• Small left colon syndrome
• Hirchsprung’s disease
– Colonic atresia
– Intussusception