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September 1996, Vol 150, No. 9 >
Article | September 1996

Radiological Case of the Month FREE

Eddy Robberecht, MD; Anne Smets, MD; Myriam Van Winckel, MD; Frederic Delens, MD
Arch Pediatr Adolesc Med. 1996;150(9):993-994. doi:10.1001/archpedi.1996.02170340107020.
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A 13-YEAR-OLD girl entered the pediatric emergency department complaining of increasing abdominal pain. Her illness started 4 days earlier with cramping in the left iliac fossa. The cramps increased in duration and frequency. She had had no bowel movements in the last 8 days and no results from enemas.

On clinical examination, the girl was in no acute distress but was markedly overweight: 83.5 kg with a height of 155 cm. Her obesity made the clinical examination of the abdomen difficult. Palpation of the left lower quadrant was not painful but a mass could be felt. Peristaltic activity was normal. Results of rectal examination were normal and results of a radiograph of the abdomen were normal. In an attempt to visualize the colon and loosen impacted stool, a water-soluble contrast enema was performed using diatrizoate meglumine (Figure 1). Later sigmoidoscopy results were judged to be normal and showed neither obstruction

REFERENCES

1 +
Hugosson C, Jorulf H, Bakri Y.  MRI in distal vaginal atresia . Pediatr Radiol . 1991;;21:281-283.
2 +
Dougherty CM.  Anomalies of the vagina . In: Dougherty CM, Spencer R, eds. Female Sex Anomalies . Evanston, Ill: Harper & Row; 1972;:255-256.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Hugosson C, Jorulf H, Bakri Y.  MRI in distal vaginal atresia . Pediatr Radiol . 1991;;21:281-283.
2 +
Dougherty CM.  Anomalies of the vagina . In: Dougherty CM, Spencer R, eds. Female Sex Anomalies . Evanston, Ill: Harper & Row; 1972;:255-256.

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