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Congress: ECR25
Poster Number: C-11068
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-11068
Authorblock: S. Samaan, A. Koko; Doha/QA
Disclosures:
Sandra Samaan: Nothing to disclose
Alaa Koko: Nothing to disclose
Keywords: Abdomen, Colon, Contrast agents, Fluoroscopy, Plain radiographic studies, Barium enema, Congenital, Developmental disease
Learning objectives To provide a comprehensive overview of the clinical setups which indicate the execution of contrast enema in pediatric patients. To demonstrate the optimal contrast enema technique and the technical pitfalls to be avoided. To identify the most frequently encountered abnormalities and how to differentiate among the various diseases.
Read more Background Following the advent of colonoscopy, the use of contrast enema in adult radiology has declined in significance. On the contrary, contrast enema continues to be highly in demand in the field of Pediatric Radiology. Lower intestinal series or contrast enema is not only a valuable diagnostic tool, but also occasionally, a therapeutic radiological technique that is employed in different clinical scenarios across pediatric patients.
Read more Findings and procedure details Contrast enema examination preliminaries are uniform regardless of the indication. Firstly, the indication mentioned on the request is reviewed, to be able to customize the technique accordingly. Then, the radiological archive of the patient is checked, particularly the prior abdominal x-ray and abdominal ultrasound. Finally, the procedure technicalities are explained to the guardian to obtain the consent.No bowel preparation is needed in Pediatric contrast enema, as the examination is performed as a single-contrast study.The smallest possible catheter is placed in...
Read more Conclusion The essential prerequisites for achieving an accurate diagnosis on a Pediatric contrast enema include adherence to the optimal technique, together with deep knowledge of the differential diagnosis list that must be considered at each clinical case.
Read more References Mertiri et al, Association of Time Since Diagnosis of Pediatric Ileocolic Intussusception With Success of Attempted Reduction, AJR Sep 2024 Tiwari et al, Paediatric Intussusception: A Clinical Scoring System to Predict the Risk of Operative Intervention, J Mother Child 2020 I Koppen et al, Assessing colonic anatomy normal values based on air contrast enemas in children younger than 6 years, Pediatric Radiology 2016
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