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C-3051 - Paediatric radiologist: make the difference in the diagnosis of malrotation in newborn?

C. Tudisca1, S. Salerno1, F. Esposito2, P. Oresta2, M. D'Aprano2, R. Lagalla1; 1 Palermo/IT 2 Napoli/IT Type: Scientific Exhibit
Area of Interests: Abdomen, Gastrointestinal tract, Pediatric
Imaging Techniques: Fluoroscopy, Digital radiography
Procedures: Contrast agent-oral, Diagnostic procedure
Special Focus: Education and training
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Aims and objectives: Intestinal obstruction is one of the most common surgical emergencies in infants who present to the pediatrician with vomiting and constipation, as well as uncontrollable crying. The etiology is varied, but in most cases due to intestinal malrotation (IM). Intestinal malrotation, also known as int[...]

Methods and materials: We retrospectively evaluated the radiology report of 84 cases of newborns with intermittent vomiting, sent for suspected bowel obstruction in 2 pediatric emergency departments. All subject underwent an upper gastro-intestinal contrast study (UGIS). Diagnostic tests at the time of the report were ind[...]

Results: After the analysis of the radiology reports of the 84 patients, it was found that in 61 patients it was done radiological diagnosis of IM/volvulus; while the remaining 23 patients (27.4%) had negative radiological diagnosis. To surgical evaluation all patients had a final diagnosis of IM/volvulus. T[...]

Conclusion: Based on the results obtained with our series, it confirms the important role of radiologists in the correct diagnosis of intestinal disease in the newborn, but particularly stress the need for proper training in pediatric radiology and the central role of the pediatric radiologist.

Personal information:

References: Marine, Megan B. et al. Imaging of Malrotation in the Neonate. Seminars in Ultrasound, CT and MRI , Volume 35 , Issue 6 , 555 – 570 Applegate KE, Anderson JM, Klatte EC. Intestinal malrotation in children: a problem-solving approach to the upper gastrointestinal series.  Radiographi[...]

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