Abdominal Imaging

  • Cinta Sangüesa Nebot
Part of the Imaging for Clinicians book series (IMAGCLIN, volume 1)


A 10-month-old girl presents jaundice and abdominal pain for 3 days and clinical picture of gastroenteritis the previous week. On examination, there was moderate hepatomegaly. Laboratory test shows signs of cholestasis.


Acute Pancreatitis Chronic Pancreatitis Main Pancreatic Duct Severe Acute Pancreatitis Choledochal Cyst 
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Further Reading

Case 1: Choledochal Cyst

  1. Siegel MJ, Babyn PS, Lee EY (2008) Liver and biliary tract. Pediatric body CT, 2nd edn. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia, pp 209–211Google Scholar
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  3. Karrer FM, Bensard DD (2000) Neonatal cholestasis. Semin Pediatr Surg 9:166–169PubMedGoogle Scholar
  4. Kim OH, Chung HJ, Choi BG (1995) Imaging of the choledochal cyst. Radiographics 15:69–88PubMedGoogle Scholar
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  6. Meyers RL, Scaife ER (2000) Benign liver and biliary tract masses in infants and toddlers. Semin Pediatr Surg 9:146–155PubMedGoogle Scholar
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  8. Tani C, Nosaka S, Masaki H, Kuroda T, Honna T (2009) Spontaneous perforation of choledochal cyst: a case with unusual distribution of fluid in the retroperitoneal space. Pediatr Radiol 39:629–631PubMedGoogle Scholar
  9. Torrisi JM, Haller JO, Velcek FT (1990) Choledochal cyst and biliary atresia in the neonate: imaging findings in five cases. AJR Am J Roentgenol 155:1273–1276PubMedGoogle Scholar
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Case 2: Gastric Duplication Cyst

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Case 3: Meckel’s Diverticulum

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Case 4: Severe Acute Pancreatitis

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Case 5: Chronic Pancreatitis

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  3. Chavhan GB, Babyn PS, Manson D, Vidarsson L (2008b) Pediatric MR cholangiopancreatography: principles, technique, and clinical applications. Radiographics 28:1951–1962PubMedGoogle Scholar
  4. Darge K, Anupindi S (2009b) Pancreatitis and the role of US, MRCP and ERCP. Pediatr Radiol 39:S153–S157PubMedGoogle Scholar
  5. Delaney L, Applegate KE, Karmazyn B, Akisik MF, Jennings SG (2008b) MR cholangiopancreatography in children: feasibility, safety, and initial experience. Pediatr Radiol 38:64–75PubMedGoogle Scholar
  6. Refaat R, Harth M, Proschek P, Lindemayr S, Vogl TJ (2009) Autoimmune pancreatitis in an 11-year-old boy. Pediatr Radiol 39:389–392PubMedGoogle Scholar
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  9. Uchida H, Hirooka Y, Itoh A, Kawashima H, Hara K, Nonogaki K et al (2009) Feasibility of tissue elastography using transcutaneous ultrasonography for diagnosis of pancreatic diseases. Pancreas 38:17–22PubMedGoogle Scholar
  10. Urushihara N, Fukumoto K, Fukuzawa H, Suzuki K, Matsuoka T, Kawashima S et al (2010) Recurrent pancreatitis caused by pancreatobiliary anomalies in children with annular pancreas. J Pediatr Surg 45:741–746PubMedGoogle Scholar
  11. Zech CJ, Bruns C, Reiser MF, Herrmann KA (2008) Tumor-like lesion of the pancreas in chronic pancreatitis: imaging characteristics of computed tomography. Radiologe 48:777–784PubMedGoogle Scholar

Case 6: Pediatric Crohn’s Disease

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  12. Tolan DJM, Greenhalgh R, Zealley IA, Halligan S, Taylor SA (2010) MR enterographic manifestations of small bowel Crohn disease. Radiographics 30:367–384PubMedGoogle Scholar

Case 7: Hepatocellular Adenoma

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Case 8: Gastrointestinal Stromal Tumor (GIST) of Stomach in a Pediatric Patient

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  7. Lau S, Tam KF, Kam CK, Lui CW, Siu C, Lam H et al (2004) Pictorial review. Imaging of gastrointestinal tumour (GIST). Clin Radiol 59:487–498PubMedGoogle Scholar
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Case 9: Pancreatic Acinar Cell Carcinoma

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Case 10: Omental Infarction in Children

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  7. Puylaert JB (1992) Right-sided segmental infarction of the omentum: clinical, US, and CT findings. Radiology 185:169–172PubMedGoogle Scholar
  8. Schlesinger A, Dorfman S, Braverman RM (1999) Sonographic appearance of omental infarction in children. Pediatr Radiol 29:598–601PubMedGoogle Scholar
  9. Singh A, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA (2005) Acute epiploic appendagitis and its mimics. Radiographics 25:1521–1534PubMedGoogle Scholar
  10. Theriot JA, Sayat J, Franco S, Buchino J (2003) Childhood obesity: a risk factor for omental torsion. Pediatrics 112:460–463Google Scholar
  11. Van Breda Vriesman AC, Loble PN, Coerkamp EG, Puylaert JB (1999) Infarction of omentum and epiploic appendage: diagnosis, epidemiology and natural history. Eur Radiol 9:1886–1892PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Cinta Sangüesa Nebot
    • 1
  1. 1.Medical Imaging Area Pediatric RadiologyHospital Universitari i Politécnic La FeValenciaSpain

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