aplicaciones en pediatria tomografia

APLICACIONES EN

PEDIATRIA II

Dr. Noé Fabricio Morales Mérida

Residente II

Departamento de Diagnostico por Imágenes

Hospital Roosevelt

Abril 2013

Aplicaciones en pediatría II

• INTRODUCCION

• ABDOMEN

• PELVIS

• SISTEMA MUSCULO ESQUELETICO

• CONCLUSIONES


• MASAS HEPATICAS• MASAS BILIARES• MASAS PANCREATICAS• MASAS ESPLENICAS• LINFOMA• ABSCESO• ENFERMEDADES PANCREATICAS• ENFERMEDADES INTESTINALES


– TUMORES MALIGNOS PRIMARIOS

– Constituyen la tercera causa de masa abdominal sólida en niños

– Hepatoblastoma y Carcinoma hepatocelular

– 3 años

Lee J., Sagel S., Stanley R. Computed Body CT & MRI correlation . Marban Editoriales. 4th Edition. 2007


Chung E M et al. From the Archives of the AFIP: Pediatric Liver Masses: Radiologic-Pathologic Correlation Part 2. Malignant Tumors. Radiographics 2011;31:483-507



– METASTASIS HEPATICAS

– Tumor de Wilms, Neuroblastoma y Linfoma

– Hepatomegalia, ictericia, masa o dolor abdominal y alteraci{on de marcadores hepáticos

Lonergan G J et al. From the Archives of the AFIP: Neuroblastoma, Ganglioneuroblastoma, and Ganglioneuroma: Radiologic-Pathologic Correlation.

Radiographics 2008;22:911-934



– TUMORES BENIGNOS

– Un tercio de los tumores de la infancia

– Hemangioendotelioma

– Menos de 6 meses

– Nódulos de 2cm y 15cm

– Hamartoma mesenquimatoso 2do.

– Varones de menos de 2 años

Chung E M et al. From the Archives of the AFIP: Pediatric Liver Masses: Radiologic-Pathologic Correlation Part 2. Malignant Tumors. Radiographics 2011;31:483-507



– QUISTE DEL COLEDOCO

– Masa más frecuente el árbol biliar intrahepático

– Ictericia, dolor y masa abdominal

IMÁGENES DEL ARCHIVO DEL HOSPITAL ROOSEVELT


Mortelé K J et al. Multimodality Imaging of Pancreatic and Biliary Congenital Anomalies. Radiographics 2008;26:715-731



– PANCREATICOBLASTOMA


Chung E M et al. Pancreatic Tumors in Children: Radiologic-Pathologic Correlation. Radiographics 2006;26:1211-1238


Teresa Berrocal, Manuel Parrón Pajares and Amelia Fernández Zubillaga. Pancreatic Cystosis in Children and Young Adults with Cystic Fibrosis:

Sonographic, CT, and MRI Findings. American Journal of Roentgenology 2005 184:4, 1305-1309


A. Mangov, R. Tammo, T. Takoeva. B-cell non-Hodgkin's lymphoma. EURORAD 2008, Feb 6.


Gervais D A et al. Percutaneous Imaging-guided Abdominal and Pelvic Abscess Drainage in Children. Radiographics 2004;24:737-754


Tammy Sung, Michael J. Callahan and George A. Taylor. Clinical and Imaging Mimickers of Acute Appendicitis in the Pediatric Population.

American Journal of Roentgenology 2006 186:1, 67-74



• INTRODUCCION

• ABDOMEN

• PELVIS


• CONCLUSIONES


• MASAS OVARICAS

• MASAS DEL UTERO-VAGINA

• MASAS DE LA VEJIGA Y LA PROSTATA

• DUPLICACION UTERINA

• CRIPTORQUIDIA

Ueno T et al. Spectrum of Germ Cell Tumors: From Head to Toe. Radiographics 2004;24:387-404



• MASAS OVARICAS




• CRIPTORQUIDIA

J. Turkington, A. Paterson. Genitourinary rhabdomyosarcoma. EURORAD. 2003, Feb 28.



• MASAS OVARICAS




• CRIPTORQUIDIA

Allajbeu I, Dhima A, Isufi E, Peci E. The failure of fusion of Mullerian ducts with Uterus Didelphys and Vaginal duplication. EURORAD 2009, Sep 3.


R García-Valtuille, A I García-Valtuille, F Abascal, L Cerezal, and M C Argüello. Magnetic resonance

urography: a pictorial overview. BJR July 1, 2006 vol. 79 no. 943 614-626



• MASAS OVARICAS




• CRIPTORQUIDIA

Wendy W. M. Lam, Paul K. H. Tam, Victor H. G. Ai, K. L. Chan, F. L. Chan and L. Leong. Using Gadolinium-Infusion MR Venography to Show the Impalpable Testis in Pediatric

Patients. American Journal of Roentgenology 2001 176:5, 1221-1226


Mecit Kantarci, Selim Doganay, Ahmet Yalcin, Yilmaz Aksoy, Bahar Yilmaz-Cankaya and Bedii Salman. Diagnostic Performance of Diffusion-Weighted MRI in the

Detection of Nonpalpable Undescended Testes: Comparison With Conventional MRI and Surgical Findings. American Journal of Roentgenology 2010 195:4, W268-W273



• INTRODUCCION

• ABDOMEN

• PELVIS


• CONCLUSIONES


• TUMORES OSEOS

• TUMORES DE PARTES BLANDAS

• ANOMALIAS CONGENITAS

• INFARTO OSEO

Sinchun Hwang and Robert Schneider. Eponyms of Tumors and Tumorlike Lesions in the Musculoskeletal System: Who Were the People and What Are the Lesions? Pictorial Review

American Journal of Roentgenology 2010 195:6_supplement, S50-S61



• TUMORES OSEOS



• INFARTO OSEO

Fayad L M et al. Multidetector CT of Musculoskeletal Disease in the Pediatric Patient: Principles, Techniques, and Clinical Applications. Radiographics

2005;25:603-618



• TUMORES OSEOS



• INFARTO OSEO

Ejindu V C et al. Musculoskeletal Manifestations of Sickle Cell Disease. Radiographics 2007;27:1005-1021



• INTRODUCCION

• ABDOMEN

• PELVIS


• CONCLUSIONES

GRACIAS!!!!

aplicaciones en pediatria tomografia

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