Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
10 topics, 28 min.
12 topics, 28 min.
Wk 2, Case 1 - Practice
Wk 2, Case 1 - Review
4 m.Wk 2, Case 2 - Practice
Wk 2, Case 2 - Review
7 m.Wk 2, Case 3 - Practice
Wk 2, Case 3 - Review
8 m.Wk 2, Case 3 - Supplemental Case
Wk 2, Case 4 - Practice
Wk 2, Case 4 - Review
7 m.Wk 2, Case 5 - Practice
Wk 2, Case 5 - Review
6 m.Wk 2, Case 5 - Supplemental Case
13 topics, 21 min.
Wk 3, Case 1 - Practice
Wk 3, Case 1 - Review
6 m.Wk 3, Case 1 - Supplemental Case
Wk 3, Case 2 - Practice
Wk 3, Case 2 - Review
4 m.Wk 3, Case 2 - Supplemental Case
Wk 3, Case 3 - Practice
Wk 3, Case 3 - Review
6 m.Wk 3, Case 4 - Practice
Wk 3, Case 4 - Review
4 m.Wk 3, Case 4 - Supplemental Case
Wk 3, Case 5 - Practice
Wk 3, Case 5 - Review
5 m.11 topics, 16 min.
11 topics, 19 min.
Interactive Transcript
Report
EXAM: Fluoroscopic enema (water-soluble contrast enema)
INDICATION: 3-day-old male with abdominal distention, and multiple loops of abnormally dilated small bowel on recent abdominal radiographs.
TECHNIQUE: Multiple fluoroscopic images were obtained during the retrograde infusion of water-soluble contrast per rectum and into the colon.
FINDINGS:
Fluoroscopic images show contrast filling a small caliber colon at the region of the sigmoid, descending, and transverse levels. Contrast extends to the right upper quadrant, where multiple filling defects are visualized within the proximal colon. Only a trace amount of contrast is able to reflux into the terminal ileum. Background gas-filled and abnormally dilated small bowel loops are seen throughout the abdomen.
IMPRESSIONS:
Microcolon, with multiple filling defects and an inability to reflux significant contrast into the terminal ileum. These findings are compatible with meconium ileus. Short-interval repeat enema should be considered, although an associated ileal atresia or volvulus are also in the differential diagnosis.
Case Discussion
Faculty
Brandon P Brown, MD, MA, FAAP
Director of Fetal and Perinatal Imaging
Indiana University School of Medicine
Tags
Pediatrics
Nuclear Medicine
Gastrointestinal (GI)
Fluoroscopy
© 2024 Medality. All Rights Reserved.