Ultrasound-guided pneumatic reduction of intussusception in children: 15-year experience in a tertiary children's hospital.

Background: International practice regarding the method used to nonoperatively reduce pediatric intussusception is variable.

Objective: To provide an overview of ultrasound-guided pneumatic intussusception reduction and assess its safety and effectiveness.

Materials And Methods: A single-center prospective study was conducted in a tertiary referral pediatric hospital during the 15-year period between January 2008 and February 2023.

The Effect of Long-Term Atorvastatin Therapy on Carotid Intima-Media Thickness of Children With Dyslipidemia.

Carotid intima-media thickness (cIMT) has been proposed as an early marker of subclinical atherosclerosis in high risk children. Children with heterozygous familial hypercholesterolemia have greater cIMT than matched healthy controls or their unaffected siblings. Statin therapy may delay the progression of cIMT, although long-term studies in children are scarce.

Operation of ultrasonography services in a dedicated paediatric hospital and a university hospital in Greece under the COVID-19 pandemic.

Ultrasonography (US) is one of the most common diagnostic imaging tests in children. During the coronavirus disease 2019 (COVID-19) pandemic, it is important to operate with a plan designed to protect health care workers, to prevent transmission of infection from child and parents to another child or an accompanying person in the US suite, and to save valuable protective material and resources. Measures during routine US in children can be challenging both in general hospitals with paediatric units and in dedicated paediatric hospitals.

Lung Ultrasound as First-Line Examination for the Diagnosis of Community-Acquired Pneumonia in Children.

Objectives: The diagnosis of pediatric community-acquired pneumonia (CAP) is based on clinical criteria. Even though chest x-ray (CXR) is only recommended in severe cases, it is often requested from physicians in mild cases, thus increasing radiation exposure. Lung ultrasound (LUS) is not included in the diagnostic workup.

Sonographic features of intestinal and biliary ascariasis in childhood: case report and review of the literature.

Despite the fact that Ascaris lumbricoides is one of the commonest intestinal infections in developing countries, there are very few reports in the literature about the sonographic findings of intestinal and biliary ascariasis in childhood. The clinical manifestations, diagnostic procedures and imaging appearance of intestinal and biliary ascariasis in two patients are discussed with a brief review of the literature.

Sonographic measurement of the abdominal esophagus length in infancy: a diagnostic tool for gastroesophageal reflux.

Objective: Our aim was to provide exact sonographic measurements of the abdominal esophagus length in neonates and infants with and without gastroesophageal reflux (GER) and to investigate its diagnostic value. GER severity and hiatal hernia presence were also evaluated and correlated with esophageal length.

Materials And Methods: This retrospective case-control study comprised 258 neonates and infants (150 without reflux and 108 with reflux).

Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant.

Chronic secondary mesenteroaxial gastric volvulus associated with hypertrophic pyloric stenosis has rarely been mentioned in the general medical literature. We report the case of a 2-month-old boy whose clinical symptoms, which included distension of the stomach and projectile vomiting, suggested the diagnosis of hypertrophic pyloric stenosis but who was later diagnosed with chronic secondary mesenteroaxial gastric volvulus. Sonographic examination revealed findings consistent with a rotated stomach, and subsequent plain chest radiography demonstrated a left diaphragmatic eventration.

Hemorrhage in the cavum septi pellucidi, and a brief review of the literature.

The aim of this study is to present the cases of four neonates with hemorrhage within the cavum septi pellucidi (CSP). The sonographic findings of this rare location of intracranial hemorrhage, the related pathology and the possible underlying mechanisms are discussed, with a brief review of the literature. Three out of four of the neonates were premature and the fourth was a full-term infant with Down's syndrome.

Sonographic detection of lymph nodes in the intussusception of infants and young children: clinical evaluation and hydrostatic reduction.

Objective: Our aim was to assess the sonographic appearance of enlarged lymph nodes in the intussusception in infants and young children and to investigate whether the enlarged lymph nodes affect the hydrostatic reduction rate of intussusception.

Materials And Methods: This retrospective case control study included a total of 65 children with intussusception, consisting of two groups: a study group of 28 patients with lymph nodes detected in intussusception and a reference group of 37 patients of similar age without lymph nodes in intussusception. The selection criterion for the study group was the presence of a minimum of two lymph nodes, of which at least one had a long axis of 11 mm or greater.

Sonographic features indicative of hydrostatic reducibility of intestinal intussusception in infancy and early childhood.

The aim of the study was to investigate the various sonographic patterns of intussusception, which may be indicative of its reducibility by hydrostatic reduction. Seventy-one infants and children clinically suspected of having intussusception were studied sonographically and given barium enemas. Sonographic patterns of intussusception were correlated with its reducibility.

Appendiceal and appendiceal-ileocolic intussusception: sonographic and radiographic evaluation.

The sonographic appearances of two children with appendiceal intussusception and two others with appendiceal-intestinal intussusception are described. All the cases were documented by barium enema and surgically confirmed.

Scrotal hematocele as an unusual presentation of blunt abdominal trauma in three male infants.

Three infants presented with bluish discoloration and swelling of the scrotum with no history of scrotal trauma. Sonography revealed unilateral hematoceles in 2 cases and bilateral hematoceles in the third. All 3 infants had intact testes.

Cystic dysplasia of the testis: a rare cause of painless hemiscrotal enlargement in childhood.

Cystic dysplasia of the testis is a rare, benign cause of painless hemiscrotal enlargement in children. We present two cases of cystic dysplasia of the testis presenting with scrotal enlargement. The diagnosis was based on its specific sonographic findings and on the coexistence of a multicystic dysplastic kidney in one case.

Perforation of multiple gastric duplication cysts: diagnosis by sonography.

A case of perforation of multiple gastric duplication cysts is presented. The rarity of this case is based on its multiplicity, its small size, its perforation into peritoneal cavity, as well as on the detection of tiny foci of ectopic pancreatic tissue at the site of perforation. The sonographic appearance and the clinical manifestations are discussed.

New sonographic appearance of hepatic mesenchymal hamartoma in childhood.

We present clinical, radiographic, and sonographic findings in 3 children with hepatic mesenchymal hamartoma, a rare benign tumor of childhood. The presence of round hyperechoic parietal nodules within the cystic spaces of the hamartomas is a new sonographic finding.

Aberrant thymus in infants: sonographic evaluation.

We report five children with aberrant thymus, four of whom presented with an upper suprasternal mass and one with a lateral neck mass. Awareness of this entity, together with knowledge of its variable presentation, is essential for unnecessary surgery to be avoided. US should be the initial diagnostic approach and occasionally leads to the correct diagnosis.

Torsion of an accessory hepatic lobe in a child: ultrasound, computed tomographic, and magnetic resonance imaging findings.

A case of acute epigastric pain resulting from torsion of an accessory hepatic lobe is reported. Sonographic, computerized tomographic, and magnetic resonance findings are illustrated and the surgical management is discussed.