Publications by authors named "Maria Dien Esquivel"

Background: Extravasation of iodinated contrast material during computed tomography (CT) is a rare complication. A few patients may develop severe complications such as compartment syndrome.

Objective: The purpose of this study was to retrospectively assess the prevalence, severity, management, and outcome of contrast extravasations in our institution and to perform a comparison to what has been reported in the existing literature.

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Background: Image-guided drainage is the management of choice for perforated appendicitis with intra-abdominal abscess/es. However, there is paucity of data regarding the optimal time for intervention in children.

Objective: The purpose of this study is to assess the relationship between the time from diagnosis of a drainable abscess to abscess drainage (delta time) and the clinical outcome in patients with complicated acute appendicitis.

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Purpose: Multiple imaging parameters have been examined to estimate the presence of syrinx and the need for surgery in Chiari I patients (CM1); however, no consistent or definitive criteria have been proposed. The objective of this study was to review existing and identify novel radiological and clinical characteristics of CM1 patients that associate syrinx development and surgical intervention.

Methods: Patients with Chiari I malformation diagnosed on imaging between 0 and 18 years were retrospectively reviewed from January 1, 2007 to February 12, 2020.

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Article Synopsis
  • Oral contrast does not enhance the ability to accurately diagnose appendicitis in low-weight pediatric patients using CT scans, as no significant difference was found in appendix visualization between those with and without oral contrast.
  • The study involved 100 children aged 2-10 years, comparing outcomes between 37 patients who received oral contrast and 63 who did not.
  • Although overall visualization rates were similar, inter-rater reliability for detecting the appendix was better in the oral contrast group, suggesting further research is needed to clarify the role of oral contrast in appendicitis diagnosis.
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