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    There are 6 cases available...

    Go to the top of the page   ID: 20090528153613 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Discussion
     
    Oligodendroglioma:presenting as supratentorial cerebral mass in a child
    Sanjeeb Kumar. Oligodendroglioma:presenting as supratentorial cerebral mass in a child. PedRad [serial online] vol 9, no. 5.
    URL: www.PedRad.info/?search=20090528153613


     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Sanjeeb Kumar Sarma ( Down Town Hospital/ Guwahati/ India)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    6 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Head-Brain and brain nerves  

     
     Pediatric Radiology CasesMost likely etiology:

    neoplastic  

     
     Pediatric Radiology CasesHistory:

    Six year old female child presenting with on and off headache since last 6 to 7 months. Parents also observed a few episodes of seizures in last two months.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Oligodendrogliomas are uncommon gliomas. They arise from a specific type of glial cells, the oligodendrocytes, that make and maintain the CNS myelin. They are typically white matter tumors that may extend into the cortex and leptomeninges. Oligodendrogliomas comprise 2 - 5% of all primary brain tumors and 5 - 10% of gliomas. Adults are more affected than children (8:1), peak age being 35-45 years. Although they can be found anywhere, the most common site being the frontal lobes.
    On plain X-ray of skull calcifications may be seen if the tumor is densely calcified. Angiographycally this tumor is avascular or faintly vascular that shows focal stretching and draping of cortical vessels around the lesion in low grade type, whereas the malignant ones may have significant vascularity. Oligodendrogliomas are the most common intracranial tumors to calcify. Non-contrast CT scans show a partially calcified (70-90% of all cases show calcification) mixed density hemispheric mass that extends peripherally to the cortex. Scalloped erosion of the inner table is seen in some larger masses. Cystic degeneration is common but frank intra-tumoral hemorrhage and edema is distinctly uncommon. Mild to moderate enhancement after intravenous contrast is seen in two third of cases. MR scans show mixed hypo- and isointense areas on T1W1 and hyperintense foci on T2 weighted sequences. Enhancement is typically patchy and moderate.
    Treatment is surgical removal of the mass.
     

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: CT scannogram showing tumoral calcifications (white arrow) and pressure effect over inner calvarial table (black arrow) of right parietal bone.




    CT 2 <- view CT 2

    CT 2: Axial non-contrast CT section showing iso to slightly hyperdense mass with both solid (white arrow) and cystic (black arrow) components. The tumor measures 65x55x40 mm in its widest diameters.





    CT 3 <- view CT 3

    CT 3: Axial non-contrast CT section showing multiple cystic components within the tumor (black arrows).No intra tumoral hemorrhage seen





    CT 4 <- view CT 4

    CT 4: Axial non-contrast CT section showing tumoral calcifications ( black arrow).





    CT 5 <- view CT 5

    CT 5: Axial contrast CT section showing mild to moderate non-homogenous enhancement of solid component of the tumor.





    CT 6 <- view CT 6

    CT 6: Axial contrast CT section showing the same mass at a higher level in the right parietal lobe.





    CT 7 <- view CT 7

    CT 7: Axial CT section in bone window showing clearly the erosion (black arrow) of inner table of right parietal bone and tumoral calcifications (white arrow).




     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Astrocytoma  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Most oligodendrogliomas are slow growing neoplasms; only a minority cases are anaplastic. Tumor grade is the single most important prognostic factor. Patients with low grade lesions have 5 and 10 year survival rates of 74% and 46% respectively, whereas these rates reduced to 41% and 20% for grade 3 and grade 4 tumors.  

     
     Pediatric Radiology CasesComments of the author about the case:

    Though oligodendroglioma is not uncommon in adults, however it is distinctly rare in pediatric age group. This is a biopsy proven case and is of low grade type. Patient was clinically well postoperatively and was advised to come for follow up.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    Diagnostic Neuroradiology by Anne G. Osborn (Mosby)- chapter 13- Astrocytomas and other glial neoplasms P- 563-566.  

     
     Pediatric Radiology CasesKeywords:

    Oligodendroglioma, glioma, supratentorial mass, calcified cerebral mass  

     
     Pediatric Radiology Cases Cite this article:

    Sanjeeb Kumar. Oligodendroglioma:presenting as supratentorial cerebral mass in a child. PedRad [serial online] vol 9, no. 5.
    URL: www.PedRad.info/?search=20090528153613  

     
     Pediatric Radiology Cases Read similar articles: calcified cerebral mass&type=1-17">corresponding keywords
    in the same field: Head-Brain and brain nerves
    or in the region: Head
    or in the tissue/organ: Brain and brain nerves
    or with the etiology: neoplastic
     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] View all modalities [ All ]   
     
    Oligodendroglioma:presenting as supratentorial cerebral mass in a child
    Sanjeeb Kumar. Oligodendroglioma:presenting as supratentorial cerebral mass in a child. PedRad [serial online] vol 9, no. 5.
    URL: www.PedRad.info/?search=20090528153613


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

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    Oligodendroglioma:presenting as supratentorial cerebral mass in a child
    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   

    Oligodendroglioma:presenting as supratentorial cerebral mass in a child  
     
    Oligodendroglioma:presenting as supratentorial cerebral mass in a child
    Sanjeeb Kumar. Oligodendroglioma:presenting as supratentorial cerebral mass in a child. PedRad [serial online] vol 9, no. 5.
    URL: www.PedRad.info/?search=20090528153613


     
     
    Oligodendroglioma:presenting as supratentorial cerebral mass in a child
    Sanjeeb Kumar. Oligodendroglioma:presenting as supratentorial cerebral mass in a child. PedRad [serial online] vol 9, no. 5.
    URL: www.PedRad.info/?search=20090528153613


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    1 = less interesting)
     
    Oligodendroglioma:presenting as supratentorial cerebral mass in a child
    Sanjeeb Kumar. Oligodendroglioma:presenting as supratentorial cerebral mass in a child. PedRad [serial online] vol 9, no. 5.
    URL: www.PedRad.info/?search=20090528153613


     


    Go to the top of the page   ID: 20070417083647 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

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    Discussion
     
    Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)
    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


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    A. Seifarth (Klinikum Augsburg/Abteilung Kinderradiologie/Augsburg/Germany), K.Vollert(Klinikum Augsburg/Abteilung Kinderradiologie/Augsburg/Germany)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    12 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    N/A  

     
     Pediatric Radiology CasesMost likely etiology:

    N/A  

     
     Pediatric Radiology CasesHistory:

    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.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    In a patient with known Arnold Chiari malformation (type II), there is a ventricular shunt with intraperitoneal drainage. Most likely, the large, intraperitoneal liquorcele was forming a while before it caused symptoms (not within 2 weeks, as the mother stated). Interestingly, the cerebral ventricles, even with the large fluid accumulation in the abdominal region, were not enlargened, and actually appeared to be collapsed, which points us to over-drainage.  

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: CT scannogram showing tumoral calcifications (white arrow) and pressure effect over inner calvarial table (black arrow) of right parietal bone.




    CT 2 <- view CT 2

    CT 2: Axial non-contrast CT section showing iso to slightly hyperdense mass with both solid (white arrow) and cystic (black arrow) components. The tumor measures 65x55x40 mm in its widest diameters.





    CT 3 <- view CT 3

    CT 3: Axial non-contrast CT section showing multiple cystic components within the tumor (black arrows).No intra tumoral hemorrhage seen





    CT 4 <- view CT 4

    CT 4: Axial non-contrast CT section showing tumoral calcifications ( black arrow).





    CT 5 <- view CT 5

    CT 5: Axial contrast CT section showing mild to moderate non-homogenous enhancement of solid component of the tumor.





    CT 6 <- view CT 6

    CT 6: Axial contrast CT section showing the same mass at a higher level in the right parietal lobe.





    CT 7 <- view CT 7

    CT 7: Axial CT section in bone window showing clearly the erosion (black arrow) of inner table of right parietal bone and tumoral calcifications (white arrow).





    Day 1


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Abdominal ultrasound: There is an almost the entire abdomen occupying (volume about 3 liters), sharply marginated lesion with peripheral septations. The VP shunt is identified within this space occupying lesion.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Abdominal ultrasound





    X-Ray 1 <- view X-Ray 1

    X-Ray 1: VP shunt course
    In comparison with previous exams unchanged position of the shunt with both ventricular catheters projecting ver the right ventricle. There is elevation of the diaphragm with congestion of the heart and lung. The abdomen is distended. The shunt demonstrates a loop in the abdomen. Known spina bifida in the lumbosacral area.





    X-Ray 2 <- view X-Ray 2

    X-Ray 2: VP shunt course





    CT 1 <- view CT 1

    CT 1: CCT: No dilatation of the ventricles or basal cisternes (anterior horns of the lateral ventricles are collapsed - more in the sense of n overdrainage). There is no bleed, no tumor, no infarct. Known agenesis of the corpus callosum. 2 ventricular drainage catheters from right parietal, with correct position of the catheter tips in the right ventricle.



    CT 2 <- view CT 2

    CT 2: CCT




    Day 2



    MRI 1 <- view MRI 1

    MRI 1: MRI of the abdomen: There is a nearly the entire abdomen filling cystic structure. The lesion demonstrates a fluid isointense internal signal with mild marginal contrast enhancement. Within the lesion is theperitoneal part of the VP shunt identified which lies freely within the cyst. The intestines are markedly displaced by the lesion, otherwise unremarkable upper abdominal organs.
    Please note the drainage location intraperitoneal as well as extraperitoneal.




    MRI 2 <- view MRI 2

    MRI 2: MRI of the abdomen

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    N/A  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Without MRI examination, a mesenterial cyst or a cystic lymphangioma would be possible sonographic differential diagnoses. Due to the combination of the history of the patient and the MRI findings, these differential diagnoses fall by the wayside.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    After imaging, the VP shunt was changed to a VA shunt.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Liquorcele, VP-Shunt, VP Shunt, Ventriculoperitoneal shunt  

     
     Pediatric Radiology Cases Cite this article:

    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  

     
     Pediatric Radiology Cases Read similar articles: Ventriculoperitoneal shunt&type=1-17">corresponding keywords
    in the same field:
    or in the region:
    or in the tissue/organ:
    or with the etiology:
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)
    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


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)
    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   
    Search A. Seifarth in Medline A. Seifarth (17)   
    Search K.Vollert in Medline K.Vollert (1)   

    Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)  
     
    Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)
    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


     
     
    Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)
    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


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    1 = less interesting)
     
    Intraabdominal Liquorcele in Ventriculoperitoneal Shunt & Arnold Chiari Malformation (Type II)
    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


     


    Go to the top of the page   ID: 20031217133642 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

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


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    M. Paetzel (Leipzig)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    14 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    N/A  

     
     Pediatric Radiology CasesMost likely etiology:

    N/A  

     
     Pediatric Radiology CasesHistory:

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

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: CT scannogram showing tumoral calcifications (white arrow) and pressure effect over inner calvarial table (black arrow) of right parietal bone.




    CT 2 <- view CT 2

    CT 2: Axial non-contrast CT section showing iso to slightly hyperdense mass with both solid (white arrow) and cystic (black arrow) components. The tumor measures 65x55x40 mm in its widest diameters.





    CT 3 <- view CT 3

    CT 3: Axial non-contrast CT section showing multiple cystic components within the tumor (black arrows).No intra tumoral hemorrhage seen





    CT 4 <- view CT 4

    CT 4: Axial non-contrast CT section showing tumoral calcifications ( black arrow).





    CT 5 <- view CT 5

    CT 5: Axial contrast CT section showing mild to moderate non-homogenous enhancement of solid component of the tumor.





    CT 6 <- view CT 6

    CT 6: Axial contrast CT section showing the same mass at a higher level in the right parietal lobe.





    CT 7 <- view CT 7

    CT 7: Axial CT section in bone window showing clearly the erosion (black arrow) of inner table of right parietal bone and tumoral calcifications (white arrow).





    Day 1


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Abdominal ultrasound: There is an almost the entire abdomen occupying (volume about 3 liters), sharply marginated lesion with peripheral septations. The VP shunt is identified within this space occupying lesion.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Abdominal ultrasound





    X-Ray 1 <- view X-Ray 1

    X-Ray 1: VP shunt course
    In comparison with previous exams unchanged position of the shunt with both ventricular catheters projecting ver the right ventricle. There is elevation of the diaphragm with congestion of the heart and lung. The abdomen is distended. The shunt demonstrates a loop in the abdomen. Known spina bifida in the lumbosacral area.





    X-Ray 2 <- view X-Ray 2

    X-Ray 2: VP shunt course





    CT 1 <- view CT 1

    CT 1: CCT: No dilatation of the ventricles or basal cisternes (anterior horns of the lateral ventricles are collapsed - more in the sense of n overdrainage). There is no bleed, no tumor, no infarct. Known agenesis of the corpus callosum. 2 ventricular drainage catheters from right parietal, with correct position of the catheter tips in the right ventricle.



    CT 2 <- view CT 2

    CT 2: CCT




    Day 2



    MRI 1 <- view MRI 1

    MRI 1: MRI of the abdomen: There is a nearly the entire abdomen filling cystic structure. The lesion demonstrates a fluid isointense internal signal with mild marginal contrast enhancement. Within the lesion is theperitoneal part of the VP shunt identified which lies freely within the cyst. The intestines are markedly displaced by the lesion, otherwise unremarkable upper abdominal organs.
    Please note the drainage location intraperitoneal as well as extraperitoneal.




    MRI 2 <- view MRI 2

    MRI 2: MRI of the abdomen


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Underneath the nasal bone suture a translucent line with mild shifting about 1 mm.



     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    N/A  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Nasal bone suture  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    N/A  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Nasal bone, Fracture, Nasal bone fracture, Nose, Nasal trauma, Nose injury, Nose fracture, Broken nose  

     
     Pediatric Radiology Cases Cite this article:

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

     
     Pediatric Radiology Cases Read similar articles: Broken nose&type=1-17">corresponding keywords
    in the same field:
    or in the region:
    or in the tissue/organ:
    or with the etiology:
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    Nasal fracture
    M Paetzel. Nasal fracture. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031217133642


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Nasal fracture
    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   
    Search A. Seifarth in Medline A. Seifarth (17)   
    Search K.Vollert in Medline K.Vollert (1)   
    Search M. Paetzel in Medline M. Paetzel (26)   

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


     

    Which diagnosis have other collegues guessed?


    • Nasal root suture without fracture
      Votes: 2 (12 %)


    • Nasal fracture
      Votes: 14 (87 %)



        Total answers: 16

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


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




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


     


    Go to the top of the page   ID: 20031122111836 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

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    Discussion
     
    Inguinal hernia containing ovary
    Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122111836


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

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

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    4 Months  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    N/A  

     
     Pediatric Radiology CasesMost likely etiology:

    N/A  

     
     Pediatric Radiology CasesHistory:

    4 month old female baby, acute swelling in the left groin, no pain, no redness, good general condition, palpable swelling in the inguinal region, well movable resistance.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: CT scannogram showing tumoral calcifications (white arrow) and pressure effect over inner calvarial table (black arrow) of right parietal bone.




    CT 2 <- view CT 2

    CT 2: Axial non-contrast CT section showing iso to slightly hyperdense mass with both solid (white arrow) and cystic (black arrow) components. The tumor measures 65x55x40 mm in its widest diameters.





    CT 3 <- view CT 3

    CT 3: Axial non-contrast CT section showing multiple cystic components within the tumor (black arrows).No intra tumoral hemorrhage seen





    CT 4 <- view CT 4

    CT 4: Axial non-contrast CT section showing tumoral calcifications ( black arrow).





    CT 5 <- view CT 5

    CT 5: Axial contrast CT section showing mild to moderate non-homogenous enhancement of solid component of the tumor.





    CT 6 <- view CT 6

    CT 6: Axial contrast CT section showing the same mass at a higher level in the right parietal lobe.





    CT 7 <- view CT 7

    CT 7: Axial CT section in bone window showing clearly the erosion (black arrow) of inner table of right parietal bone and tumoral calcifications (white arrow).





    Day 1


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Abdominal ultrasound: There is an almost the entire abdomen occupying (volume about 3 liters), sharply marginated lesion with peripheral septations. The VP shunt is identified within this space occupying lesion.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Abdominal ultrasound





    X-Ray 1 <- view X-Ray 1

    X-Ray 1: VP shunt course
    In comparison with previous exams unchanged position of the shunt with both ventricular catheters projecting ver the right ventricle. There is elevation of the diaphragm with congestion of the heart and lung. The abdomen is distended. The shunt demonstrates a loop in the abdomen. Known spina bifida in the lumbosacral area.





    X-Ray 2 <- view X-Ray 2

    X-Ray 2: VP shunt course





    CT 1 <- view CT 1

    CT 1: CCT: No dilatation of the ventricles or basal cisternes (anterior horns of the lateral ventricles are collapsed - more in the sense of n overdrainage). There is no bleed, no tumor, no infarct. Known agenesis of the corpus callosum. 2 ventricular drainage catheters from right parietal, with correct position of the catheter tips in the right ventricle.



    CT 2 <- view CT 2

    CT 2: CCT




    Day 2



    MRI 1 <- view MRI 1

    MRI 1: MRI of the abdomen: There is a nearly the entire abdomen filling cystic structure. The lesion demonstrates a fluid isointense internal signal with mild marginal contrast enhancement. Within the lesion is theperitoneal part of the VP shunt identified which lies freely within the cyst. The intestines are markedly displaced by the lesion, otherwise unremarkable upper abdominal organs.
    Please note the drainage location intraperitoneal as well as extraperitoneal.




    MRI 2 <- view MRI 2

    MRI 2: MRI of the abdomen


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Underneath the nasal bone suture a translucent line with mild shifting about 1 mm.




    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: In the B-mode, an echocomplex structure with connection to the abdominal cavity is seen subcutaneously . Presentation of small cystic areas within the oval structure.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: US-Doppler: Presentation of vascularisation over the connective structure from the abdomen.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    N/A  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Lymphadenitis inguinalis  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Clinically there was already a suspicion of an inguinal herniation with the ovary as its contents. Sonographically, this could be proven using the B-mode ultrasound. To avoid harm to the ovary, a reposition was not made; the blood supply and therewith the vitality of the ovary was observed with doppler sonography. These children are transferred to the surgical department to prevent infarction through istragulation or torsion.  

     
     Pediatric Radiology CasesComments of the author about the case:

    It is tried over and over again to reponate inguinal hernias by girls. In a case of a herniated ovary, this could be very problematic. A swelling of the organ can completely hinder this. When in doubt, we recommend a sonographic examination in order to assess the contents of the hernia, which may prevent an unnecessary, failed reposition.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    2. Medline: Medline
    Goske MJ, Emmens RW, Rabinowitz R.
    Inguinal ovaries in children demonstrated by high resolution real-time ultrasound
    Radiology. 1984 Jun;151(3):635-6.

    3. Medline: Medline
    Boley SJ, Cahn D, Lauer T, Weinberg G, Kleinhaus S.
    The irreducible ovary: a true emergency
    J Pediatr Surg. 1991 Sep;26(9):1035-8.  

     
     Pediatric Radiology CasesKeywords:

    Hernia inguinalis , inguinal hernia, Ovary, inguinal hernia with ovary, inguinal ovarian hernia  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122111836  

     
     Pediatric Radiology Cases Read similar articles: inguinal ovarian hernia&type=1-17">corresponding keywords
    in the same field:
    or in the region:
    or in the tissue/organ:
    or with the etiology:
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Inguinal hernia containing ovary
    Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122111836


     

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    Inguinal hernia containing ovary
    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   
    Search A. Seifarth in Medline A. Seifarth (17)   
    Search K.Vollert in Medline K.Vollert (1)   
    Search M. Paetzel in Medline M. Paetzel (26)   
    Search Dirk Schaper in Medline Dirk Schaper (59)   

    Inguinal hernia containing ovary  
     
    Inguinal hernia containing ovary
    Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122111836


     

    Which diagnosis have other collegues guessed?


    • Nasal root suture without fracture
      Votes: 2 (12 %)


    • Nasal fracture
      Votes: 14 (87 %)


    • Lymphadenitis inguinalis
      Votes: 1 (3 %)


    • Hernia inguinalis with intestines
      Votes: 2 (7 %)


    • Hernia inguinalis with ovary
      Votes: 9 (32 %)


    • Pseudohermaphroditism
      Votes: 0 (0 %)



        Total answers: 28

     
    Inguinal hernia containing ovary
    Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122111836


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    1 = less interesting)
     
    Inguinal hernia containing ovary
    Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122111836


     


    Go to the top of the page   ID: 20030519223650 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Discussion
     
    Congenital diaphragmatic hernia (CDH), left
    Dirk Schaper. Congenital diaphragmatic hernia (CDH), left. PedRad [serial online] vol 3, no. 5.
    URL: www.PedRad.info/?search=20030519223650


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper (Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    Newborn  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    N/A  

     
     Pediatric Radiology CasesMost likely etiology:

    N/A  

     
     Pediatric Radiology CasesHistory:

    Birth in outside clinic after a normal course of pregnancy. Prenatal sonography was without abnormal findings. Postnatally, there was a missing respiratory sound on the left. Radiological diagnostics were ordered. Transfer to the pediatric department in stable general condition without respiration.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The lung of the afflicted side is almost always hypoplastic.  

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: CT scannogram showing tumoral calcifications (white arrow) and pressure effect over inner calvarial table (black arrow) of right parietal bone.




    CT 2 <- view CT 2

    CT 2: Axial non-contrast CT section showing iso to slightly hyperdense mass with both solid (white arrow) and cystic (black arrow) components. The tumor measures 65x55x40 mm in its widest diameters.





    CT 3 <- view CT 3

    CT 3: Axial non-contrast CT section showing multiple cystic components within the tumor (black arrows).No intra tumoral hemorrhage seen





    CT 4 <- view CT 4

    CT 4: Axial non-contrast CT section showing tumoral calcifications ( black arrow).





    CT 5 <- view CT 5

    CT 5: Axial contrast CT section showing mild to moderate non-homogenous enhancement of solid component of the tumor.





    CT 6 <- view CT 6

    CT 6: Axial contrast CT section showing the same mass at a higher level in the right parietal lobe.





    CT 7 <- view CT 7

    CT 7: Axial CT section in bone window showing clearly the erosion (black arrow) of inner table of right parietal bone and tumoral calcifications (white arrow).





    Day 1


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Abdominal ultrasound: There is an almost the entire abdomen occupying (volume about 3 liters), sharply marginated lesion with peripheral septations. The VP shunt is identified within this space occupying lesion.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Abdominal ultrasound





    X-Ray 1 <- view X-Ray 1

    X-Ray 1: VP shunt course
    In comparison with previous exams unchanged position of the shunt with both ventricular catheters projecting ver the right ventricle. There is elevation of the diaphragm with congestion of the heart and lung. The abdomen is distended. The shunt demonstrates a loop in the abdomen. Known spina bifida in the lumbosacral area.





    X-Ray 2 <- view X-Ray 2

    X-Ray 2: VP shunt course





    CT 1 <- view CT 1

    CT 1: CCT: No dilatation of the ventricles or basal cisternes (anterior horns of the lateral ventricles are collapsed - more in the sense of n overdrainage). There is no bleed, no tumor, no infarct. Known agenesis of the corpus callosum. 2 ventricular drainage catheters from right parietal, with correct position of the catheter tips in the right ventricle.



    CT 2 <- view CT 2

    CT 2: CCT




    Day 2



    MRI 1 <- view MRI 1

    MRI 1: MRI of the abdomen: There is a nearly the entire abdomen filling cystic structure. The lesion demonstrates a fluid isointense internal signal with mild marginal contrast enhancement. Within the lesion is theperitoneal part of the VP shunt identified which lies freely within the cyst. The intestines are markedly displaced by the lesion, otherwise unremarkable upper abdominal organs.
    Please note the drainage location intraperitoneal as well as extraperitoneal.




    MRI 2 <- view MRI 2

    MRI 2: MRI of the abdomen


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Underneath the nasal bone suture a translucent line with mild shifting about 1 mm.




    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: In the B-mode, an echocomplex structure with connection to the abdominal cavity is seen subcutaneously . Presentation of small cystic areas within the oval structure.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: US-Doppler: Presentation of vascularisation over the connective structure from the abdomen.


    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Postnatal X-Ray of the thorax and abdomen, multiple air-filled structures in the left hemithoracic area, widening of the intercostal spaces, displacement of the mediastinum to the right, relatively air-depleted abdomen.






    X-Ray 3 <- view X-Ray 3

    X-Ray 3: Postoperative X-Ray, not completely expanded lung, obvious border of thorax and abdomen through the diaphragm.






    OP-Situs 3 <- view OP-Situs 3

    OP-Situs 3: Intraoperative condition after opening the abdomen.





    OP-Situs 4 <- view OP-Situs 4

    OP-Situs 4: Intraoperative condition with probe in the defect.




    OP-Situs 5 <- view OP-Situs 5

    OP-Situs 5: Everted organs are shown.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    N/A  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Pulmonary cyst, CCAM  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    In stable general condition, the left diaphragmal hernia was closed. There was a sufficiently placed, ventral diaphragmal border. Stress-free closing without patch.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    4. Medline: Medline
    Downard CD, Jaksic T, Garza JJ, Dzakovic A, Nemes L, Jennings RW, Wilson JM.
    Analysis of an improved survival rate for congenital diaphragmatic hernia.
    J Pediatr Surg 2003 May;38(5):729-32  

     
     Pediatric Radiology CasesKeywords:

    congenital, diaphragmatic hernia, eventration, hypoplastic lung, congenital diaphragmatic hernia, absent breathing sounds  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper. Congenital diaphragmatic hernia (CDH), left. PedRad [serial online] vol 3, no. 5.
    URL: www.PedRad.info/?search=20030519223650  

     
     Pediatric Radiology Cases Read similar articles: absent breathing sounds&type=1-17">corresponding keywords
    in the same field:
    or in the region:
    or in the tissue/organ:
    or with the etiology:
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Congenital diaphragmatic hernia (CDH), left
    Dirk Schaper. Congenital diaphragmatic hernia (CDH), left. PedRad [serial online] vol 3, no. 5.
    URL: www.PedRad.info/?search=20030519223650


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Congenital diaphragmatic hernia (CDH), left
    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   
    Search A. Seifarth in Medline A. Seifarth (17)   
    Search K.Vollert in Medline K.Vollert (1)   
    Search M. Paetzel in Medline M. Paetzel (26)   
    Search Dirk Schaper in Medline Dirk Schaper (59)   
    Search Dirk Schaper in Medline Dirk Schaper (59)   

    Congenital diaphragmatic hernia (CDH), left  
     
    Congenital diaphragmatic hernia (CDH), left
    Dirk Schaper. Congenital diaphragmatic hernia (CDH), left. PedRad [serial online] vol 3, no. 5.
    URL: www.PedRad.info/?search=20030519223650


     

    Which diagnosis have other collegues guessed?


    • Nasal root suture without fracture
      Votes: 2 (12 %)


    • Nasal fracture
      Votes: 14 (87 %)


    • Lymphadenitis inguinalis
      Votes: 1 (3 %)


    • Hernia inguinalis with intestines
      Votes: 2 (7 %)


    • Hernia inguinalis with ovary
      Votes: 9 (32 %)


    • Pseudohermaphroditism
      Votes: 0 (0 %)


    • Gastroschisis
      Votes: 3 (5 %)


    • Diaphragmatic hernia
      Votes: 16 (30 %)


    • Cystic adenomatoid malformation of the lung
      Votes: 3 (5 %)


    • Pulmonary sequester
      Votes: 3 (5 %)



        Total answers: 53

     
    Congenital diaphragmatic hernia (CDH), left
    Dirk Schaper. Congenital diaphragmatic hernia (CDH), left. PedRad [serial online] vol 3, no. 5.
    URL: www.PedRad.info/?search=20030519223650


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    1 = less interesting)
     
    Congenital diaphragmatic hernia (CDH), left
    Dirk Schaper. Congenital diaphragmatic hernia (CDH), left. PedRad [serial online] vol 3, no. 5.
    URL: www.PedRad.info/?search=20030519223650


     


    Go to the top of the page   ID: 20021217091236 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Discussion
     
    Meningeal spread in Hodgkin's disease
    Carsten Bock. Meningeal spread in Hodgkin's disease. PedRad [serial online] vol 2, no. 12.
    URL: www.PedRad.info/?search=20021217091236


     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Carsten Bock (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    18 Years  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    N/A  

     
     Pediatric Radiology CasesMost likely etiology:

    N/A  

     
     Pediatric Radiology CasesHistory:

    18 year-old patient with a second reoccurance of Hodgkin's disease. In the course of restaging, an MR examination of the head was done. No neurological symptoms. Multifocal reoccurance (various lymph node regions, liver, spine = Stage IV).  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    A malignant lymphoma with Sternberg-Reed Giant cells as a histological characteristic. In the early stages, this is a local lymph node illness, but in further stages it is a systemic illness. Epidemiology: Incidence 3/100,000. m:w - 3:2. Peak age: 30-60 years. Classification can be divided into 4 subtypes (nodular-sclerosing, mixed, lymphocyte rich, lymphocyte poor), where the nodular-sclerosing for is most common in younger patients.
    Etiology is unknown.
    Seeding is initially lymphogenic, but later it can be hematogenic or continuous. Staging occurs upon the clinical signs (Ann-Arbor). Stage IV corresponds to a disseminated form.  

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: CT scannogram showing tumoral calcifications (white arrow) and pressure effect over inner calvarial table (black arrow) of right parietal bone.




    CT 2 <- view CT 2

    CT 2: Axial non-contrast CT section showing iso to slightly hyperdense mass with both solid (white arrow) and cystic (black arrow) components. The tumor measures 65x55x40 mm in its widest diameters.





    CT 3 <- view CT 3

    CT 3: Axial non-contrast CT section showing multiple cystic components within the tumor (black arrows).No intra tumoral hemorrhage seen





    CT 4 <- view CT 4

    CT 4: Axial non-contrast CT section showing tumoral calcifications ( black arrow).





    CT 5 <- view CT 5

    CT 5: Axial contrast CT section showing mild to moderate non-homogenous enhancement of solid component of the tumor.





    CT 6 <- view CT 6

    CT 6: Axial contrast CT section showing the same mass at a higher level in the right parietal lobe.





    CT 7 <- view CT 7

    CT 7: Axial CT section in bone window showing clearly the erosion (black arrow) of inner table of right parietal bone and tumoral calcifications (white arrow).





    Day 1


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Abdominal ultrasound: There is an almost the entire abdomen occupying (volume about 3 liters), sharply marginated lesion with peripheral septations. The VP shunt is identified within this space occupying lesion.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Abdominal ultrasound





    X-Ray 1 <- view X-Ray 1

    X-Ray 1: VP shunt course
    In comparison with previous exams unchanged position of the shunt with both ventricular catheters projecting ver the right ventricle. There is elevation of the diaphragm with congestion of the heart and lung. The abdomen is distended. The shunt demonstrates a loop in the abdomen. Known spina bifida in the lumbosacral area.





    X-Ray 2 <- view X-Ray 2

    X-Ray 2: VP shunt course





    CT 1 <- view CT 1

    CT 1: CCT: No dilatation of the ventricles or basal cisternes (anterior horns of the lateral ventricles are collapsed - more in the sense of n overdrainage). There is no bleed, no tumor, no infarct. Known agenesis of the corpus callosum. 2 ventricular drainage catheters from right parietal, with correct position of the catheter tips in the right ventricle.



    CT 2 <- view CT 2

    CT 2: CCT




    Day 2



    MRI 1 <- view MRI 1

    MRI 1: MRI of the abdomen: There is a nearly the entire abdomen filling cystic structure. The lesion demonstrates a fluid isointense internal signal with mild marginal contrast enhancement. Within the lesion is theperitoneal part of the VP shunt identified which lies freely within the cyst. The intestines are markedly displaced by the lesion, otherwise unremarkable upper abdominal organs.
    Please note the drainage location intraperitoneal as well as extraperitoneal.




    MRI 2 <- view MRI 2

    MRI 2: MRI of the abdomen


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Underneath the nasal bone suture a translucent line with mild shifting about 1 mm.




    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: In the B-mode, an echocomplex structure with connection to the abdominal cavity is seen subcutaneously . Presentation of small cystic areas within the oval structure.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: US-Doppler: Presentation of vascularisation over the connective structure from the abdomen.


    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Postnatal X-Ray of the thorax and abdomen, multiple air-filled structures in the left hemithoracic area, widening of the intercostal spaces, displacement of the mediastinum to the right, relatively air-depleted abdomen.






    X-Ray 3 <- view X-Ray 3

    X-Ray 3: Postoperative X-Ray, not completely expanded lung, obvious border of thorax and abdomen through the diaphragm.






    OP-Situs 3 <- view OP-Situs 3

    OP-Situs 3: Intraoperative condition after opening the abdomen.





    OP-Situs 4 <- view OP-Situs 4

    OP-Situs 4: Intraoperative condition with probe in the defect.




    OP-Situs 5 <- view OP-Situs 5

    OP-Situs 5: Everted organs are shown.



    MRI 1 <- view MRI 1

    MRI 1: T1-weighted coronal image after contrast and before treatment: Obvious widening (about 1 cm) and pathologic contrast enhancement of the meningeal structures located parietally on both sides. MR-morohologically, one cannot distinguish between a dural or a leptomeningeal affliction, however the smooth contours intracerebrally and the absence of contrast in the sulci point to a dural infiltration.







    MRI 2 <- view MRI 2

    MRI 2: T1-weighted image coronal after contrast: Following slice of Image 1.







    MRI 3 <- view MRI 3

    MRI 3: T1-weighted image coronal after contrast (slice position as in image 1) 12 days after chemotherapy. There is an obvious regression of the meningeal widening with unchanged contrast enhancement.







    MRI 4 <- view MRI 4

    MRI 4: T1-weighted image coronal after contrast. 12 days after chemotherapy. Neighboring slice as in Image 3, slice position as in the second image.




     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    N/A  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Meningeal metastases (i.e. neuroblastoma), inflammatory changes, meningeomas (more centrally located, near the middle, solid).  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    A brain infiltration in Hodgkin's disease is rare. Between 1954 and 1999 there have only been 48 cases reported. Stein and Lennert's autopsy statistics showed 5 percent of the patients with Hodgkin's disease had dural infiltration. The spreading to intracranial structures is suspected to be hematogenic.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    5. Medline: Medline
    Nakayama, H. et al.
    Brain Involvement in Hodgkin´s Disease: Case Report and Review of the Literature.
    Radiation Medicine: Vol. 18 No. 3, 205208 p.p., 2000.

    6. Medline: Medline
    Eder, M., P. Gedigk
    Lehrbuch der Allgemeinen Pathologie und der Pathologischen Anatomie
    Springer 1986, 32. Auflage S. 430-434.

    7. Medline: Medline
    AWMF online - Leitlinie Pädiatrische Onkologie/Hämatologie: M. Hodgkin.  

     
     Pediatric Radiology CasesKeywords:

    Hodgkin's disease, meningeal participation, meningeal spread  

     
     Pediatric Radiology Cases Cite this article:

    Carsten Bock. Meningeal spread in Hodgkin's disease. PedRad [serial online] vol 2, no. 12.
    URL: www.PedRad.info/?search=20021217091236  

     
     Pediatric Radiology Cases Read similar articles: meningeal spread&type=1-17">corresponding keywords
    in the same field:
    or in the region:
    or in the tissue/organ:
    or with the etiology:
     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Meningeal spread in Hodgkin's disease
    Carsten Bock. Meningeal spread in Hodgkin's disease. PedRad [serial online] vol 2, no. 12.
    URL: www.PedRad.info/?search=20021217091236


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Meningeal spread in Hodgkin's disease
    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   
    Search A. Seifarth in Medline A. Seifarth (17)   
    Search K.Vollert in Medline K.Vollert (1)   
    Search M. Paetzel in Medline M. Paetzel (26)   
    Search Dirk Schaper in Medline Dirk Schaper (59)   
    Search Dirk Schaper in Medline Dirk Schaper (59)   
    Search Carsten Bock in Medline Carsten Bock (25)   

    Meningeal spread in Hodgkin's disease  
     
    Meningeal spread in Hodgkin's disease
    Carsten Bock. Meningeal spread in Hodgkin's disease. PedRad [serial online] vol 2, no. 12.
    URL: www.PedRad.info/?search=20021217091236


     

    Which diagnosis have other collegues guessed?


    • Nasal root suture without fracture
      Votes: 2 (12 %)


    • Nasal fracture
      Votes: 14 (87 %)


    • Lymphadenitis inguinalis
      Votes: 1 (3 %)


    • Hernia inguinalis with intestines
      Votes: 2 (7 %)


    • Hernia inguinalis with ovary
      Votes: 9 (32 %)


    • Pseudohermaphroditism
      Votes: 0 (0 %)


    • Gastroschisis
      Votes: 3 (5 %)


    • Diaphragmatic hernia
      Votes: 16 (30 %)


    • Cystic adenomatoid malformation of the lung
      Votes: 3 (5 %)


    • Pulmonary sequester
      Votes: 3 (5 %)


    • Meningeoma in Hodgkin's disease
      Votes: 1 (1 %)


    • Meningitis
      Votes: 1 (1 %)


    • Meningeal infiltration in Hodgkin's disease
      Votes: 8 (12 %)


    • Coincidence of Hodgkin's disease and Hyperostosis frontalis
      Votes: 1 (1 %)



        Total answers: 64

     
    Meningeal spread in Hodgkin's disease
    Carsten Bock. Meningeal spread in Hodgkin's disease. PedRad [serial online] vol 2, no. 12.
    URL: www.PedRad.info/?search=20021217091236


     

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    Meningeal spread in Hodgkin's disease
    Carsten Bock. Meningeal spread in Hodgkin's disease. PedRad [serial online] vol 2, no. 12.
    URL: www.PedRad.info/?search=20021217091236


     




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