Spontaneous resolution of bile-plug syndrome.
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Bile↗
Biomedical subjects
L E Pinckney
Publications and source records attributed to L E Pinckney.
Hydrostatic reduction of ileocolic intussusception: a second attempt in the operating room with general anesthesia.
Over a 3-year-period, standard treatment with hydrostatic pressure from a contrast enema failed to reduce ileocolic intussusception in 31 of 62 children. With the child anesthetized in the operating room, a second contrast enema was given before laparotomy. Of the 31 intussusceptions, 21 (68%) were reduced without complication, thereby avoiding the discomfort, longer hospitalization, complications, and expense of surgery. Nine of the remaining 10 intussusceptions were difficult to reduce manually during surgery or required resection. The overall nonoperative reduction rate for the 3-year period was 84%; for the last 2 years it was 90%. Success with the second enema may be related to the effects of general anesthesia. In addition, partial reduction with the first enema may improve blood flow from the intussusceptum so that it becomes smaller and easier to reduce with the second enema. Because it can easily be added to standard management protocols without increased risk, routine use of this second enema with anesthesia is recommended.
Anesthesia, General↗
Sonographic diagnosis of lipoma of the corpus callosum.
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Brain Neoplasms↗
The solitary renal calyx and papilla in human kidneys.
Three cases of unipapillary and unicalyceal kidneys are presented together with a review of 7 isolated cases taken from the literature. This anomaly is rare in humans and usually associated with other significant morphological or functional abnormalities of the urinary system, most frequently absence of the contralateral kidney.
Abnormalities, Multiple↗
Traumatic deaths from dog attacks in the United States.
A newspaper survey and search of the medical literature identified 74 deaths from dog attacks, 51 of which occurred in a designated five-year study period. Most attacks were by single pet dogs without a preceding history of viciousness and without known provocation by the victim. The highest number of deaths (23) occurred in infants less than 1 year of age. Most of the remaining victims were children aged 1 through 8 years, and elderly women.
Accidents, Home↗
Craniolacunia without associated anomalies.
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Female↗
The stubbed great toe: a cause of occult compound fracture and infection.
Six children suffered Salter I fractures of the distal phalanx of a great toe caused by stubbing. The first four children presented with cellulitis and osteomyelitis. The last two were treated promptly with antibiotics, and no infection developed. Analysis of the anatomic relationship of the distal phalanx and nail indicates that these fractures were compound despite the absence of usual clinical signs. Recognition of these occult compound fractures and treatment with antibiotics should prevent infectious complications.
Adolescent↗
Renal displacement caused by a supradiaphragmatic, paraspinal Ewing-like sarcoma and simulating an adrenal mass.
Two cases of children with paravertebral soft-tissue masses that histologically resembled Ewing sarcoma of bone are reported. In both cases the mass was located immediately above the diaphragm. It depressed the posterior segment of the diaphragm and indirectly caused displacement of the ipsilateral kidney, thus simulating an adrenal mass on excretory urography. The anatomic reasons for this phenomenon and the main features of the tumor are discussed.
Adolescent↗
Amputated calcified ovaries in children.
A calcified abdominal mass was an identical finding in four asymptomatic girls, ages 2 weeks to 9 years. At laparotomy the right ovary was absent, and in three patients the ipsilateral oviduct was at least partially absent. The most likely explanation is antenatal or subclinical torsion of the adnexa with subsequent amputation, necrosis, and calcification.
Calcinosis↗
Parenchymal reflux in renal dysplasia.
Primitive ducts, tubules, and cysts often communicate with the pelvoccalyceal systems of dysplastic kidneys, and may sometimes be filled in retrograde fashion with radiographic contrast material. Their size, shape, and distribution provide a variable radiographic appearance that must be distinguished from other causes of intrarenal reflux. When reflux filling of dysplastic structures is incomplete, the radiographic findings do not fully represent the severity of anatomic abnormality.
Contrast Media↗
Genu valgum after proximal tibial fractures in children.
Eight children with fractures of the proximal tibial metaphysis developed a significant genu valgum on the injured side. A study of the radiographs showed that the deformity was primarily due to bowing of the tibia below the site of fracture. The deformity may be the result of plastic bowing of the tibia accentuated by weight bearing during healing.
Bone Diseases, Developmental↗
Osteomyelitis of the cervical spine following dental extraction.
Osteomyelitis of the cervical spine developed in two children following dental extraction. A significant delay in diagnosis and treatment in both cases may have contributed to subsequent permanent spinal deformities. The possibility of cervical osteomyelitis must be considered in a child when severe neck pain develops following dental extraction.
Adolescent↗
Excretory urography with glucagon.
Glucagon administered to ten children during excretory urography showed only a transient dilution of contrast material without any other change in the appearance of the urinary tract. No beneficial role for glucagon in routine excretory urography was demonstrated.
Adolescent↗
Reflux of barium into the middle ear during upper gastrointestinal series.
In four children, barium was refluxed into the nasopharynx, eustachian tubes, and middle ears during routine upper gastrointestinal series. Three children had gastroesophageal reflux and one had incoordination of swallowing. The possible significance of such reflux with regard to middle ear disease is not known.
Barium Sulfate↗
Fractures of the infant skull caused by animal bites.
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Animals↗
Renal malposition associated with omphalocele.
Nine patients with omphalocele had abnormally positioned kidneys; in 8, the kidneys were more cephalad than normal, immediately subdiaphragmatic in position. In one patient the kidneys were more caudal than normal. This renal malposition should be recognized in order to avoid unnecessary imaging procedures in patients with omphalocele.
Adult↗
Antemortem diagnosis of massive air embolism in the newborn.
A case is presented of massive air embolism complicating respiratory distress syndrome of the newborn. This uncommon complication of respiratory therapy has occurred only with high inflation pressures and has been uniformly fatal in this and all reported cases. Antemortem radiographs are necessary for accurate diagnosis.
Embolism, Air↗