Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Radiological Case of the Month

Radiological Case of the Month Abstract A 3,692-g full-term infant girl was admitted to the hospital with abdominal distention and bilious vomiting. Prenatal maternal sonography for evaluation of an abnormally large uterus had showed polyhydramnios; fetal sonography had revealed a cystic abdominal mass. Physical examination showed a tachypneic infant with a small omphalocele and massive abdominal distention. Combined chest and abdominal roentgenograms were obtained, and they showed a distended, relatively gasless abdomen. Abdominal sonography (Fig 1), cystography (Fig 2), and a contrast-medium enema (Fig 3) preceded exploratory laparotomy. Denouement and Discussion Megacystis-Microcolon-Intestinal Hypoperistalsis Syndrome Abdominal sonography indicated that the cystic abdominal mass was a huge bladder; cystography confirmed megacystis without evidence of vesicoureteral reflux or bladder outlet obstruction. Contrast-medium enema showed a displaced microcolon that did not empty spontaneously. Initial laparotomy for repair of the small omphalocele showed a nonobstructed thick-walled bladder, nonurinary ascites, and a foreshortened distal small bowel and microcolon without intestinal atresia. Due to postoperative bilious vomiting, contrast-medium examination References 1. Berdon WE, Baker DH, Blanc WA, et al: Megacystis-microcolon-intestinal hypoperistalsis syndrome: A new cause of intestinal obstruction in the newborn: Report of radiologic findings in five newborn girls . AJR 1976;126:957-964.Crossref 2. Amoury RA, Fellows RA, Goodwin CD, et al: Megacystis-microcolon-intestinal hypoperistalsis syndrome: A cause of intestinal obstruction in the newborn period . J Pediatr Surg 1977;12:1063-1065.Crossref 3. Young LW, Yunis EJ, Girdany BR, et al: Megacystis-microcolon-intestinal hypoperistalsis syndrome: Additional clinical, radiological, surgical, and histopathological aspects. Presented at the 79th meeting of the American Roentgen Ray Society, Toronto, March 26, 1979. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Radiological Case of the Month

Download PDF
2 pages

Loading next page...
 
/lp/american-medical-association/radiological-case-of-the-month-d77iod9glV

References (2)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1981.02130250055016
Publisher site
See Article on Publisher Site

Abstract

Abstract A 3,692-g full-term infant girl was admitted to the hospital with abdominal distention and bilious vomiting. Prenatal maternal sonography for evaluation of an abnormally large uterus had showed polyhydramnios; fetal sonography had revealed a cystic abdominal mass. Physical examination showed a tachypneic infant with a small omphalocele and massive abdominal distention. Combined chest and abdominal roentgenograms were obtained, and they showed a distended, relatively gasless abdomen. Abdominal sonography (Fig 1), cystography (Fig 2), and a contrast-medium enema (Fig 3) preceded exploratory laparotomy. Denouement and Discussion Megacystis-Microcolon-Intestinal Hypoperistalsis Syndrome Abdominal sonography indicated that the cystic abdominal mass was a huge bladder; cystography confirmed megacystis without evidence of vesicoureteral reflux or bladder outlet obstruction. Contrast-medium enema showed a displaced microcolon that did not empty spontaneously. Initial laparotomy for repair of the small omphalocele showed a nonobstructed thick-walled bladder, nonurinary ascites, and a foreshortened distal small bowel and microcolon without intestinal atresia. Due to postoperative bilious vomiting, contrast-medium examination References 1. Berdon WE, Baker DH, Blanc WA, et al: Megacystis-microcolon-intestinal hypoperistalsis syndrome: A new cause of intestinal obstruction in the newborn: Report of radiologic findings in five newborn girls . AJR 1976;126:957-964.Crossref 2. Amoury RA, Fellows RA, Goodwin CD, et al: Megacystis-microcolon-intestinal hypoperistalsis syndrome: A cause of intestinal obstruction in the newborn period . J Pediatr Surg 1977;12:1063-1065.Crossref 3. Young LW, Yunis EJ, Girdany BR, et al: Megacystis-microcolon-intestinal hypoperistalsis syndrome: Additional clinical, radiological, surgical, and histopathological aspects. Presented at the 79th meeting of the American Roentgen Ray Society, Toronto, March 26, 1979.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Jan 1, 1981

There are no references for this article.