Special Feature |

Radiological Case of the Month FREE

Magloire Gnansounou, MD; Michel Bonnevalle, MD; Ahmed Zehar, MD; Genevieve Delebarre, MD; Jean-Claude Semet, MD; Robert Yann, MD; Frederic Gottrand, MD
[+] Author Affiliations

From the Department of Pediatrics and Neonatology (Drs Gnansounou, Zehar, Delebarre, and Semet), Sambre Avesnois City Hospital, Maubeuge; and the Departments of Pediatric Radiology (Dr Yann) and Pediatrics (Drs Gottrand and Bonnevalle), University Hospital, Lille, France.

Section Editor: Beverly P. Wood, MD

Arch Pediatr Adolesc Med. 2000;154(2):199. doi:10.1001/archpedi.154.2.199.
Text Size: A A A
Published online

A 6-YEAR-OLD girl presented with a history of 2 episodes of transient epigastric and upper right abdominal pain associated with fever and vomiting. She was previously healthy. During the last episode of abdominal pain, she was referred for evaluation. Findings from physical examination were normal. No mass was present, and the liver was normal in size. Her white blood cell count, C-reactive protein level, and erythrocyte sedimentation rate were slightly increased, but returned spontaneously to reference values in a few days. γ-Glutamyltransferase was increased to 3-fold the reference level. Findings from other liver function tests as well as levels for serum α1-fetoprotein and pancreatic enzyme were normal. Abdominal ultrasonography (Figure 1), computed tomography without and with contrast enhancement (Figure 2), and magnetic resonance imaging (Figure 3) were performed.




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Imaging of acute abdomen in pregnancy. Radiol Clin North Am 2013;51(6):1005-22.