TOPIC: Disorders of the Pleura TYPE: Medical Student/Resident Case Reports INTRODUCTION: In patients with hydrocephalus, ventriculoperitoneal(VP) shunts are most common treatment due to ease insertion and a more favorable risk profile. However, in instances such as infections anatomical variations, where ventriculoperitoneal unable be placed then ventriculoatrial or ventriculopleural can placed...

BACKGROUND/PURPOSE Functional constipation with associated fecal incontinence responds poorly to medical management once megarectum has developed. The authors describe resecting the dilated rectum and inserting a cecostomy button for antegrade enemas in this difficult condition. METHODS Four children, ages 9 to 15 years, with a history of unremitting constipation and fecal incontinence were r...

procedure, even in elderly patients [1]. This is the first report describing a case of acute ischemic colitis with pneumatosis coli resulting from bowel preparation in a patient with anatomic predispositions. A 69-year-old man was admitted for screening colonoscopy. His medical history was not significant. A formulation of polyethylene glycol and electrolytes was used for lavage. Physical exami...

PURPOSE The aim of this study was to determine how to manage children with recurrence of intussusception. METHODS Medical records of patients treated for intussusception from 1976 to 2008 at the Queen Sirikit National Institute of Child Health were reviewed. Information on patients who developed recurrent intussusception was extracted to study patterns of recurrent attack and suitable managem...

Colorectal cancer is one of the top three cancers in the world in terms of incidence. Colonoscopy, which many regard as the gold standard in diagnosis of colonic polyps and neoplasm, is costly, invasive and labour-intensive, and deemed an unsuitable population-wide index screening tool. Alternative modalities, including guaiac and immunohistochemical faecal occult blood tests, computed tomograp...

Portomesenteric vein gas can occur owing to a variety of interraleted factors such as loss of mucosal integrity and intraluminal overpressure, and the most common and serious cause is bowel ischemia, which requires urgent laparotomy. Nevertheless, when portal venous gas is caused by nonischemic causes, surgery is not required and it can be treated conservatively. So, its features should be care...

partment for screening colonoscopy. He had no gastrointestinal symptoms. Barium enema revealed a curiously elongated polypoid lesion, 12 cm in length, in the transverse colon (●" Fig. 1). Colonoscopy showed an elongated polyp in the transverse colon with a 4-cm long head (●" Fig. 2a) and an 8-cm long stalk (●" Fig. 2b). As the reddish head of the lesion was clearly visualized after spraying wit...

OBJECTIVE To retrospectively analyse the outcome of patients who underwent investigation by small bowel enema in a local centre. DESIGN Case series. SETTING Regional hospital, Hong Kong. PATIENTS All patients referred for small bowel enema in a local hospital from 1 January 1999 to 31 December 2009 were identified; respective findings from imaging and clinical records were reviewed. RES...

Computed tomography (CT) colonography is the established successor to the barium enema for the detection of colonic neoplasia due to superior performance and patient experience. Consequently, CT colonography is widely disseminated across Western populations and increasingly provided by both subspecialist and general radiologists alike. As a result, CT colonography is now part of the core traini...

We report a case of cecal volvulus in an 11-year-old girl who had been diagnosed with Cornelia de Lange syndrome. She had undergone operative fundoplication several years earlier and was referred to our institute for treatment of intestinal obstruction. A severely dilated colon was detected on abdominal roentgenogram, and abdominal CT and colonic enema strongly suggested cecal volvulus. Emergen...