Pneumomediastinum/pneumothorax - iatrogenic  
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Kraig J. Lage (University of Missouri Hospital and Clinics / Columbia / MO / United States)  

N/A  

Male  

Newborn male (39 weeks gestation) who had a forceps assisted delivery secondary to nonreassuring fetal heart tones. At delivery, infant was cyanotic, had poor tone, and no cry. Infant was dried, warmed, suctioned, and stimulated without response. Bag/mask ventillation was administered with response of heart rate rising to greater than 100. Bag/mask ventillation was continued for one minute until spontaneous respirations. Infant continued to have increased work of breathing with flaring, retractions, and tachypnea. CPAP was continued with decreased work of breathing.  

Kraig J. Pneumomediastinum/pneumothorax - iatrogenic. PedRad [serial online] vol 11, no. 3.
URL: www.PedRad.info/?search=20110329123519  

Key as unusual esophageal foreign body in neonate  
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Sarma Sanjeeb Kumar (Down Town Hospital/Guwahati/India), Prakritish Bora (International Hospital/Guwahati/India)  

19 Days  

Female  

A 29 days old female infant presented with history of drooling of saliva, excessive crying and mild respiratory distress for two days.  

Sarma Sanjeeb, Prakritish Bora. Key as unusual esophageal foreign body in neonate. PedRad [serial online] vol 9, no. 4.
URL: www.PedRad.info/?search=20090420160623  

Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)  
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A. Seifarth (Klinikum Augsburg/Abteilung Kinderradiologie/Augsburg/Germany), K.Vollert(Klinikum Augsburg/Abteilung Kinderradiologie/Augsburg/Germany)  

12 Years  

Male  

History reveals weight gain of 3 kg within the last 2 weeks.
Known lumbosacral meningomyelocele with closure on post delivery day 1.
Arnold-Chiari-Malformation type II.
Known internal hydrocephalus, last revision of the VP shunt 8 years ago.
Under consideration of the known illness no significant neurological findings.
Markedly distended abdomen.
Pretibial edema.
Restriction of deep inspiration.
Diminished breath sounds in the lung bases.  

A Seifarth. Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II). PedRad [serial online] vol 7, no. 4.
URL: www.PedRad.info/?search=20070417083647  

Posterior fossa subdural hematoma and Cephalhematoma  
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Samuel Stafrace (Raigmore Hospital/Inverness/Scotland), J. Miller (Raigmore Hospital/Inverness/Scotland), H. Shannon (Raigmore Hospital/Inverness/Scotland)  

2 Weeks  

Female  

Normal term baby.
Difficult ventouse delivery.
Low Apgar scores.  

Samuel Stafrace, J Miller, H Shannon. Posterior fossa subdural hematoma and Cephalhematoma. PedRad [serial online] vol 6, no. 11.
URL: www.PedRad.info/?search=20061112110821  

Bowel perforation and ileus after ingestion of magnets  
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K. Gerlach, Dirk Schaper (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara Halle/S.)  

11 Years  

Male  

Recurrent intermittend abdominal pain and vomiting for about 1 week. Last bowel movement yesterday - unremarkable. No dysuria. Subfebrile temperature.
Reduced general appearance, very slim body.
Abdomen distended, diffuse tenderness, palpable resistance in the right mid- and lower abdomen with mild guarding. Few peristalsis in all four quadrants.

Lab work: Hb 9,25 mmol/l; Hk 0,430; WBC 14, 3Gpt/l; PLT 424 Gpt/l, CRP 22,09 mg/l;
Electrolytes, ASAT, ALAT, GGT, Lipase WNL, Amylase 24,5 U/l; BS 6,63 mmol/l;
Crea 52 g/l; ESR 8 mm/h.  

K Gerlach, Dirk Schaper. Bowel perforation and ileus after ingestion of magnets. PedRad [serial online] vol 6, no. 9.
URL: www.PedRad.info/?search=20060928135619  

Rapunzel syndrome grade I° due to trichobezoar  
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Dirk Schaper, A. Jassoy, W. Lässig (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara Halle und Institut für Radiologie und Klinik für Kinder- und Jugendmedizin Städtisches Krankenhaus Martha-Maria Halle-Dölau gGmbH )  

14 Years  

Female  

In-patient admittance because of reoccuring nausea, vomiting and stomach aches for 6 months. In the pediatrician's office, an epigastric tumor was palpated which was 15 cm in size. The 14 year-old girl was never seriously ill before this, and shows no signs of distress in schoolwork. She has been referred to a dermatologist due to loss of hair.  

Dirk Schaper, A Jassoy, W Lässig. Rapunzel syndrome grade I° due to trichobezoar. PedRad [serial online] vol 6, no. 1.
URL: www.PedRad.info/?search=20060104123424  

Temporary Obstruction of the Appendix  
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Dirk Schaper (Klinik für Kinderchirurgie-Krankenhaus St. Elisabeth und St. Barbara Halle)  

7 Years  

Male  

7 year-old boy with slight abdominal discomfort for 10 days. No vomiting, no fever. No other symptoms.
Abdomen is soft, no localized pain upon pressure.
Spontaneous pain in the right lower quadrant.  

Dirk Schaper. Temporary Obstruction of the Appendix. PedRad [serial online] vol 5, no. 11.
URL: www.PedRad.info/?search=20051117133349  

Bilirubin Stone in Hereditary Spherocytosis, Papillary Stenosis after Endoscopic Stone Removal (ERCP)  
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Ina Sorge (Universität Leipzig)  

8 Years  

Female  

8 year-old girl with hereditary spherocytosis. In the course of a routine examination, a bile duct obstruction was found. After initial conservative therapy, an endoscopic extraction of the concrement was performed (ERCP).  

Ina Sorge. Bilirubin Stone in Hereditary Spherocytosis, Papillary Stenosis after Endoscopic Stone Removal (ERCP). PedRad [serial online] vol 4, no. 1.
URL: www.PedRad.info/?search=20040118215842  

L5 Spondylolysis with Grade I L5/S1 Spondylolisthesis (Meyerding Classification)  
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Carsten Bock, K. Stock (Universität Halle)  

12 Years  

Female  

12 year-old girl, fall from the stairs on her back. Main pain is in the thoracolumbar junction, but also throughout the lumbar spine. For many years, the girl has taken part in ballet and has already been in orthopedic treatment for back pain.  

Carsten Bock, K Stock. L5 Spondylolysis with Grade I L5/S1 Spondylolisthesis (Meyerding Classification). PedRad [serial online] vol 4, no. 1.
URL: www.PedRad.info/?search=20040113153041  

Nasal fracture  
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M. Paetzel (Leipzig)  

14 Years  

Male  

14 year old boy, presentation after fist hit on the nasal root.  

M Paetzel. Nasal fracture. PedRad [serial online] vol 3, no. 12.
URL: www.PedRad.info/?search=20031217133642  

Cranial fracture - parietal  
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Dirk Schaper (Halle[Kinderchirurgie St. Barbara-Krankenhaus])  

3 Months  

N/A  

3 month old baby, fall from table, no loss of consciousness, acute vomiting, increased swelling left parietal, neurological unsuspicious  

Dirk Schaper. Cranial fracture - parietal. PedRad [serial online] vol 3, no. 11.
URL: www.PedRad.info/?search=20031122115033  

Traumatic liver hemorrhage grade I  
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M. Paetzel (Cleveland/USA)  

11 Years  

Male  

11 year old boy, fall from a tree, abdominal pain, therefore admission under presumption of a blunt abdominal trauma.  

M Paetzel. Traumatic liver hemorrhage grade I. PedRad [serial online] vol 3, no. 11.
URL: www.PedRad.info/?search=20031110211430  

Hemophilic arthropathy (MRI findings)  
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Wolfgang Hirsch, S. Horneff (Leipzig/Halle)  

N/A  

N/A  

After trauma: Swelling in the traumatized joint, no fever, no pain, but a feeling of pressure and decreased range of movement.  

Wolfgang Hirsch, S Horneff. Hemophilic arthropathy (MRI findings). PedRad [serial online] vol 3, no. 10.
URL: www.PedRad.info/?search=20031026194110  

Testicular fracture  
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Dirk Schaper (Kinderchirurgie St. Barbara-KH Halle)  

10 Years  

Male  

10 year old boy with a direct trauma to the genital area (kick) two days prior. Because of continuous pain and increasing swelling, presented in the ER:
massive swelling of the scrotum, significant hematoma, clinical evaluation by palpation impossible  

Dirk Schaper. Testicular fracture. PedRad [serial online] vol 3, no. 9.
URL: www.PedRad.info/?search=20030901161657  

Pancreatic rupture with pseudocyst formation  
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Dirk Schaper, V. Hofmann (Kinderchirurgie St. Barbara-KH Halle)  

6 Years  

Female  

6 years old girl, fall from bicycle, severe abdominal pain, emesis, sweating. Acute admission under suspicion of head injury, abdominal trauma. Abdominal pain on palpation, no bruises, mild resistance.  

Dirk Schaper, V Hofmann. Pancreatic rupture with pseudocyst formation. PedRad [serial online] vol 3, no. 8.
URL: www.PedRad.info/?search=20030830131020  

Stress fracture of the proximal tibia  
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Dirk Schaper, V. Hofmann (Halle/S.)  

8 Years  

Female  

8 year old turk girl with pain in the right tibia for about 14 days. No trauma could be remembered. No nightly pain. When stressed, pain began and worsening. Discrete pasty swelling over the right proximal tibia. Local pain on pressure, no redness. No inflammatory/infectious clinical signs.  

Dirk Schaper, V Hofmann. Stress fracture of the proximal tibia. PedRad [serial online] vol 3, no. 6.
URL: www.PedRad.info/?search=20030603161946  

Hydatid torsion  
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Dirk Schaper, V. Hofmann (Halle/S.)  

12 Years  

Male  

12 year-old boy with stabbing pains in the left hemiscrotum. No vomiting, no swelling, no redness. Slight pain on pressure of the testicles. The testicles and epididymis were able to be palpated well. Maximum point of pain was at the testicular-epididymal border.  

Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4.
URL: www.PedRad.info/?search=20030417103834  

Gallbladder hydrops with evolving cholecystitis  
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Dirk Schaper, V. Hofmann (Halle/S)  

14 Years  

Female  

14 year-old girl with trisomy 21. Known cholecystolithiasis for two years, but shows no symptoms. Acute stomach aches with vomiting for three days. The patient currently shows right-sided upper quadrant pain. No fever, slightly elevated ESR, ASAT and gGT.  

Dirk Schaper, V Hofmann. Gallbladder hydrops with evolving cholecystitis. PedRad [serial online] vol 3, no. 4.
URL: www.PedRad.info/?search=20030413111550  

Extended triplane I fracture  
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Dirk Schaper (Halle/S.)  

15 Years  

Male  

15 year-old boy, findings after a skateboard accident, torsion-bending trauma of the right distal lower leg, strong swelling, pain and hematoma.  

Dirk Schaper. Extended triplane I fracture. PedRad [serial online] vol 3, no. 3.
URL: www.PedRad.info/?search=20030314112341  

Mesorchial testicular torsion  
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Dirk Schaper, V. Hofmann (Halle/S.)  

8 Years  

Male  

8 year-old boy with left-sided stomach ache, obvious pain on pressure in the left lower quadrant, the outer inguinal ring and spermatic cord inconspicuous, local pain on pressure of the left hemiscrotum.  

Dirk Schaper, V Hofmann. Mesorchial testicular torsion. PedRad [serial online] vol 3, no. 3.
URL: www.PedRad.info/?search=20030303174115  

Intravaginal testicular torsion  
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Dirk Schaper, V. Hofmann (Halle/S.)  

14 Years  

Male  

14 year-old boy with acute right-sided stomach ache, beginning about 2 hours before admission, initally acute vomiting, careful gait.
Right testicular elevation, great pain on pressure of the right testicle and spermatic cord.  

Dirk Schaper, V Hofmann. Intravaginal testicular torsion. PedRad [serial online] vol 3, no. 2.
URL: www.PedRad.info/?search=20030228165156  

Foreign body aspiration  
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Fritz Schneble (Regensburg)  

21 Months  

N/A  

21 month old child. Coughing when eating apple and bread pieces. Following: agitation, cold sweat. Presentation 3 hours after the episode. The clinical examination showed a slight difference in sides with minimally lowered breath sounds on the left side.  

Fritz Schneble. Foreign body aspiration. PedRad [serial online] vol 3, no. 2.
URL: www.PedRad.info/?search=20030214135311  

Traumatic testicular hematoma in hemophilia A  
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R. Mund ( Leipzig ), H. Loertzer ( Halle )  

16 Years  

Male  

16 year-old patient with testicular trauma with known severe Hemophilia A.  

R Mund, H Loertzer. Traumatic testicular hematoma in hemophilia A. PedRad [serial online] vol 2, no. 8.
URL: www.PedRad.info/?search=20020829114051  

Coin Ingestion  
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C. Kunze, R. Mund, Carsten Bock (Halle)  

N/A  

N/A  

According to the statements of the mother, the child swallowed a coin, probably 10-cent piece. Confirmation? Position of the coin?  

C Kunze, R Mund, Carsten Bock. Coin Ingestion. PedRad [serial online] vol 2, no. 8.
URL: www.PedRad.info/?search=20020822153232  

Skull Fracture in an Infant  
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Roland Talanow (Cleveland/USA)  

<1 Years  

N/A  

Fall out of the carriage on the left parietal head.  

Roland Talanow. Skull Fracture in an Infant. PedRad [serial online] vol 2, no. 3.
URL: www.PedRad.info/?search=20020320214818  

Battered child syndrome (child abuse), case 1  
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G. Klohs (Halle)  

3 Months  

N/A  

3 month-old child, contusions in the thoracic area. Sensitive to touch on both legs, hematomas on the head.  

G Klohs. Battered child syndrome (child abuse), case 1. PedRad [serial online] vol 2, no. 3.
URL: www.PedRad.info/?search=20020320212359  

Clinicly questionable radial head luxation, exclusion with MRI in an infant  
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Wolfgang Hirsch, S.-O. Höhne (Halle)  

2,5 Weeks  

Male  

2.5 year-old boy. Unnoticed fall. Pain and careful movement in the elbow-region. Movement of the joint cannot be adequately assessed, as the patient resists vehemently. In the a.p. x-ray, the centralization of the radius on the core of the radial head was unclear, so that a dislocation was discussed.  

Wolfgang Hirsch, S-O Höhne. Clinicly questionable radial head luxation, exclusion with MRI in an infant. PedRad [serial online] vol 2, no. 3.
URL: www.PedRad.info/?search=20020317221503  

Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture  
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M. Milzsch (Halle)  

6 Years  

Female  

6 year-old girl, after falling from her bicycle. Swelling, pain in the elbow-joint, functio laesia, no vasculature dysfunctions, no somatic or motor nerve deficiencies.

Surgery, Kirschner-Wire Fixation in an anatomically, axially correct position without rotational mistake. After 3 years, however, angular malalignment -19° - regarding the flexion axis in the elbow joint, causing varus malposition, slight rotational deficiency.  

M Milzsch. Premature Closure of the Epiphysis of the Distal Humerus epiphysis after Transcondylary humerus fracture. PedRad [serial online] vol 2, no. 3.
URL: www.PedRad.info/?search=20020317213205  

Forearm shaft fracture, left ( with radial shaft fracture and greenstick fracture of the ulna)  
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R. Mund, M. Milzsch (Halle)  

10 Years  

Male  

10 year-old male. Fall on the left forearm, pain on pressure, swelling, crepitation, malalignment of the forearm.  

R Mund, M Milzsch. Forearm shaft fracture, left ( with radial shaft fracture and greenstick fracture of the ulna). PedRad [serial online] vol 2, no. 3.
URL: www.PedRad.info/?search=20020312082407  

Ileocolic invagination  
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L. Hinz, H. Teichler (Halle)  

N/A  

N/A  

typically acute, colicy pains, sudden screaming of otherwise unnoticeable infants, eventually palpatory resistance in the right lower abdominal quadrant, often afterwards a unsymptomatic interval, vomiting, later bloody-mucousy stools.  

L Hinz, H Teichler. Ileocolic invagination. PedRad [serial online] vol 2, no. 1.
URL: www.PedRad.info/?search=20020118111724