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Radiological Case of the Month

Radiological Case of the Month Abstract A 13-YEAR-OLD girl entered the pediatric emergency department complaining of increasing abdominal pain. Her illness started 4 days earlier with cramping in the left iliac fossa. The cramps increased in duration and frequency. She had had no bowel movements in the last 8 days and no results from enemas. On clinical examination, the girl was in no acute distress but was markedly overweight: 83.5 kg with a height of 155 cm. Her obesity made the clinical examination of the abdomen difficult. Palpation of the left lower quadrant was not painful but a mass could be felt. Peristaltic activity was normal. Results of rectal examination were normal and results of a radiograph of the abdomen were normal. In an attempt to visualize the colon and loosen impacted stool, a water-soluble contrast enema was performed using diatrizoate meglumine (Figure 1). Later sigmoidoscopy results were judged to be normal and showed neither obstruction References 1. Hugosson C, Jorulf H, Bakri Y. MRI in distal vaginal atresia . Pediatr Radiol . 1991;21:281-283.Crossref 2. Dougherty CM. Anomalies of the vagina . In: Dougherty CM, Spencer R, eds. Female Sex Anomalies . Evanston, Ill: Harper & Row; 1972:255-256. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.1996.02170340107020
Publisher site
See Article on Publisher Site

Abstract

Abstract A 13-YEAR-OLD girl entered the pediatric emergency department complaining of increasing abdominal pain. Her illness started 4 days earlier with cramping in the left iliac fossa. The cramps increased in duration and frequency. She had had no bowel movements in the last 8 days and no results from enemas. On clinical examination, the girl was in no acute distress but was markedly overweight: 83.5 kg with a height of 155 cm. Her obesity made the clinical examination of the abdomen difficult. Palpation of the left lower quadrant was not painful but a mass could be felt. Peristaltic activity was normal. Results of rectal examination were normal and results of a radiograph of the abdomen were normal. In an attempt to visualize the colon and loosen impacted stool, a water-soluble contrast enema was performed using diatrizoate meglumine (Figure 1). Later sigmoidoscopy results were judged to be normal and showed neither obstruction References 1. Hugosson C, Jorulf H, Bakri Y. MRI in distal vaginal atresia . Pediatr Radiol . 1991;21:281-283.Crossref 2. Dougherty CM. Anomalies of the vagina . In: Dougherty CM, Spencer R, eds. Female Sex Anomalies . Evanston, Ill: Harper & Row; 1972:255-256.

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Sep 1, 1996

References