Spectrum of bowel wall thickening on ultrasound with pathological correlation in children

Limantoro, Ione; Lee, Anna F.; Rosenbaum, Daniel G.

doi:10.1007/s00247-022-05376-w

Cited by 4 publications

(3 citation statements)

References 51 publications

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“…In this sense, multiple cases of iCTLD-GI/iTLP-GI with a previous diagnosis of UC or CD have been described [4,[8][9][10]; these diagnoses have been supported by morphological aspects such as ulcers, alteration of glandular architecture or granulomas secondary to their rupture [4,[8][9][10]; although these morphological changes can be found in IBD, they are not exclusive to these entities, documenting the same and some additional ones such as fissures, pseudopyloric metaplasia, transmural lymphoid aggregates and thickening of the muscular layer as reparative phenomena and a ubiquitous response to damage [15][16][17][18], so it is plausible that they may be present in cases of iCTLD-GI/iTLP-GI, as it is a chronic disease that involves the mucosa.…”

Section: Discussionmentioning

confidence: 99%

Indolent T-cell Lymphoproliferative Disorder of the Gastrointestinal Tract Mimicking Crohn’s Disease

Delgado-de la Mora,

Montante-Montes de Oca,

Ángeles-Ángeles

et al. 2024

Cureus

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Indolent clonal T-cell lymphoproliferative disorder (iCTLD-GI)/indolent T-cell lymphoma of the gastrointestinal tract (iTLP-GI) poses diagnostic challenges, and despite its rarity, accurate diagnosis is crucial for appropriate management. We report the case of 34-year-old female with a 19-year history of gastrointestinal symptoms suggestive of inflammatory bowel disease (IBD). Subsequent evaluation revealed iCTLD-GI/iTLP-GI with extensive Crohn's disease-like morphological alterations, previously unreported. These macroscopic and microscopic aspects underscore the need for a comprehensive evaluation to avoid misdiagnosis with IBD. Additionally, molecular studies have identified potential therapeutic targets, highlighting the evolving management strategies. This case underscores the diagnostic complexity of iCTLD-GI/iTLP-GI, especially when the condition mimicks IBD such as Crohn's disease.

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Section: Discussionmentioning

confidence: 99%

Indolent T-cell Lymphoproliferative Disorder of the Gastrointestinal Tract Mimicking Crohn’s Disease

Delgado-de la Mora,

Montante-Montes de Oca,

Ángeles-Ángeles

et al. 2024

Cureus

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“…Multisystem inflammatory syndrome in children (MIS‐C) is a postinfectious complication of SARS‐CoV‐2 characterized by systemic hyperinflammation accompanied by fever and multiple organ dysfunction 12 . MIS‐C has been included in the etiology of ATI with its gastrointestinal symptoms 12,13 …”

Section: Introductionmentioning

confidence: 99%

“…12 MIS-C has been included in the etiology of ATI with its gastrointestinal symptoms. 12,13 Although COVID-19 is known as a respiratory tract infectious disease, it frequently affects the gastrointestinal system, especially in the pediatric age group. 14 SARS-CoV-2 is a positive single-stranded RNA virus that localizes to the target cell through the interaction between the viral spike protein and angiotensin-converting enzyme 2 (ACE-2) receptors.…”

mentioning

confidence: 99%

Evaluation of acute terminal ileitis in children before and during the COVID‐19 pandemic

Koyuncu,

Bükülmez,

Güngör

et al. 2023

J. pediatr. gastroenterol. nutr.

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ObjectivesThe aim of this study was to examine the clinical features of acute terminal ileitis in children and evaluate its rate before and during the COVID‐19 pandemic.MethodsThis retrospective study was performed in our pediatric emergency department between 2018 and 2022. The records of 5363 patients who required abdominal imaging due to acute abdomen were analyzed, and 143 patients with terminal ileitis were included. The rate and etiological causes were compared during and before the COVID‐19 pandemic.ResultsThe rate of acute terminal ileitis has increased over the years. The fastest increase was in 2021, when the COVID‐19 pandemic was experienced. While 59 (41.2%) patients showed acute nonspecific ileitis, the most common etiologic cause that could be identified was acute gastroenteritis. It was determined that multisystem inflammatory syndrome in children was among the causes of ileitis after the COVID‐19 pandemic and was one of the top three causes.ConclusionsAcute terminal ileitis, which has many etiologies, is one of the rare radiological findings in acute abdominal pain. Examination and laboratory findings are not specific. Guidelines are needed for the investigation of the underlying etiology of acute terminal ileitis in children. The incidence of acute terminal ileitis is increasing, and the increase has been found to be faster after the COVID‐19 pandemic.

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Predictive value of preoperative ultrasonographic measurement of gastric morphology for the occurrence of postoperative nausea and vomiting among patients undergoing gynecological laparoscopic surgery

Qiu,

Yin,

Liang

et al. 2024

Front. Oncol.

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BackgroundPre-operative prediction of postoperative nausea and vomiting (PONV) is primarily based on the patient’s medical history. The predictive value of gastric morphological parameters observed on ultrasonography has not been comprehensively assessed.MethodsA prospective observational study was conducted to evaluate the pre-operative ultrasonographic measurement of gastric morphology for predicting PONV. The gastric antrum of the participants was assessed using ultrasound before anesthesia, and the occurrence of PONV in the first 6 hours and during the 6–24 hours after surgery was reported. The main indicators included the thickness of the muscularis propria (TMP) and the cross-sectional area of the inner side of the muscularis propria (CSA-ISMP). These were recorded and analyzed. Logistic regression analysis was applied to identify factors for PONV.ResultsA total of 72 patients scheduled for elective gynecological laparoscopic surgery were investigated in the study. The pre-operative CSA-ISMP of patients with PONV in the first 6 hours was significantly greater than that of those without PONV (2.765 ± 0.865 cm² vs 2.349 ± 0.881 cm², P=0.0308), with an area under the curve of 0.648 (95% CI, 0.518 to 0.778, P=0.031). Conversely, the pre-operative TMP of patients with PONV during the 6–24 hours was significantly smaller than that of those without PONV (1.530 ± 0.473 mm vs 2.038 ± 0.707 mm, P=0.0021), with an area under the curve of 0.722 (95% CI, 0.602 to 0.842, P=0.003). Logistic regression analysis confirmed that CSA-ISMP was an independent risk factor for PONV in the first 6 hours (OR=2.986, P=0.038), and TMP was an independent protective factor for PONV during the 6–24 hours after surgery (OR=0.115, P=0.006).ConclusionPatients with a larger pre-operative CSA-ISMP or a thinner TMP are prone to develop PONV in the first 6 hours or during the 6–24 hours after surgery, respectively.China clinical trial registration centerhttp://www.chictr.org.cn (ChiCTR2100055068).

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Spectrum of bowel wall thickening on ultrasound with pathological correlation in children

Cited by 4 publications

References 51 publications

Indolent T-cell Lymphoproliferative Disorder of the Gastrointestinal Tract Mimicking Crohn’s Disease

Indolent T-cell Lymphoproliferative Disorder of the Gastrointestinal Tract Mimicking Crohn’s Disease

Evaluation of acute terminal ileitis in children before and during the COVID‐19 pandemic

Predictive value of preoperative ultrasonographic measurement of gastric morphology for the occurrence of postoperative nausea and vomiting among patients undergoing gynecological laparoscopic surgery

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