Pediatric radiology
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Pediatric radiology · Jan 1986
Case ReportsRetrocardiac pneumomediastinum in association with tracheal and esophageal perforations.
Retrocardiac pneumomediastinum was encountered in two premature infants; one had a tracheal perforation and one an esophageal perforation. Contrast studies showed communication between the sites of perforation and the retrocardiac air. Clinical signs suggestive of such perforation include abnormal course of tubes on plain chest films and bloody aspirates.
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Pediatric radiology · Jan 1986
Case ReportsSimultaneous intussusception and sigmoid volvulus in a child.
This radiographically documented case of synchronous ileoileocolic intussusception and sigmoid volvulus is without apparent precedence. Etiological factors relevant to each of these conditions are discussed. Reasons for possible underdiagnosis of sigmoid volvulus and simultaneous lesions are included.
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A baby with two lower cervical tracheoesophageal fistulas was evaluated with a barium esophagram and computerized tomography (CT). The esophagram identified both fistulas. Axial CT demonstrated the esophageal attachment of the upper fistula and completely displayed the lower fistula. A change in caliber of the esophagus from a collapsed to a distended state marked the site of the fistulas.
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Pediatric radiology · Jan 1985
Case ReportsInfra-azygous pneumomediastinum versus pulmonary ligament air collection: CT evaluation.
A full-term infant developed a large collection of air posteriorly in the thorax. Computed tomography showed the anatomical distribution of this extraventilatory air and although, it did not conclusively differentiate between infra-azygous pneumomediastinum and a pulmonary ligament air collection, inappropriate needle aspiration of the air was avoided.