By Craig T. Albanese, Masayuki Fujioka, Gordon A. Mackinlay, Nancy Rollins, Felix Schier, Ciro Esposito, G. Esposito
Radiologic evaluate of an boy or girl or baby suspected of getting a surgical illness could be a advanced challenge. With this quantity, the editors have created a ebook fascinated by pediatric imaging written by means of pediatricians, pediatric surgeons and pediatric radiologists.
This booklet is a suite of over 2 hundred case studies. the concept that is a case learn strategy: The reader is given radiologic photos (plain radiography, computed tomography, magnetic resonance imaging, ultrasonography, etc.) and the medical heritage of the sufferer. at the foundation of this knowledge, the reader is requested to spot a diagnostic and healing method. every one case is complemented through info at the affliction affecting the sufferer and the administration of the case proven, together with remedy and follow-up.
This academic textual content is focused in any respect doctors confronted with quite a few diagnostic and healing difficulties affecting babies and children.
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Extra resources for Pediatric Surgical Diseases: A Radiologic Surgical Case Study Approach
Example text
2 19 20 Head and Neck A9 This large mass with calcifications is most consistent with an oral teratoma (epignathus). Because of the risk of airway compromise, the fetus was delivered using the EXIT (ex utero intrapartum treatment) strategy. During the procedure, the uterus is opened and the mass is removed while the fetus is still connected to the placenta. 2) that was emanating from the area of the hard palate, orotracheal intubation was performed, the umbilical cord cut, and the baby delivered.
5 The midline cervical mass was a large thyroglossal duct cyst (TDC). It did not become infected and slowly increased in volume. The differential diagnosis must include lymph node hyperplasia and dermoid cyst. The treatment of choice for TDC is surgery via the Sistrunk procedure. 4). Accurate hemostasis must be achieved and closure in layers realized. No drainage is necessary and the child can be discharged on the same day of surgery. 5, 6) to the skin with consequent retracting scar, and possible, although rare, cancerization.
1). The lesion was seen at birth as a small bluish region. The parents were told the lesion represented a small hemangioma which would involute with time. • What is the differential diagnosis? • What is the best imaging strategy? • Should the lesion be biopsied or resected? • Is there a nonsurgical alternative for treatment? Fig. 1 27 28 Head and Neck A 13 The purplish lesion is a venous malformation. The patient underwent MR imaging using gadolinium-DTPA. 3) sequence through the lesion were performed.
