Browsing by Author "Wieselthaler, N"

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    Iatrogenic pneumatosis intestinalis and pneumatosis hepatis
    (2007) Bickler. W S; Alexander, A; Pitcher, R D; Wieselthaler, N; Rode, H
    A term male fetus with meconium-stained liquor was delivered at a peripheral hospital. He developed abdominal distension and bile-stained vomiting shortly after birth. Meconium ingestion was suspected. Gastric lavage was attempted using inappropriately high volumes and concentrations of sodium bicarbonate in this newborn with undiagnosed jejunal atresia. Subsequent abdominal radiographs documented the presence of the jejunal atresia and pneumatosis intestinalis (PI), together with air in both the porta hepatis and liver parenchyma (Figs 1 - 3). The latter features were interpreted as representing necrotising enterocolitis. The child was transferred to Red Cross Children’s Hospital, Cape Town, for corrective surgery.
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    Rhabdomyosarcoma - site matters
    (2006) Greyling, P J; Andronikou, S; Ackermann, C; Schulze, O C; Wieselthaler, N
    For the clinical radiologist imaging a soft-tissue mass in a child, site plays an important role in narrowing the differential diagnosis. Rhabdomyosarcomas can arise from any tissue, even those devoid of skeletal muscle. Knowledge of the common sites involved allows inclusion in the differential diagnosis where relevant and also has a limited potential to prognosticate. With this article we hope to give some clarity as to when this diagnosis is likely. Rhabdomyosarcomas are relatively rare, but radiologists should have a high index of suspicion at particular sites where this may be the most common childhood malignancy. Common sites are the head and neck, genito-urinary system and extremities.