Luann Jones

Isolated torsion of the fallopian tube in a menarchal 11-year-old girl.

Isolated torsion of the fallopian tube is a rare cause of an acute lower abdominopelvic pain in adolescent females that is difficult to recognize preoperatively. This is a case report of an 11-year-old girl who presented with a right lower quadrant abdominal pain, nausea, and vomiting secondary to isolated torsion of the right fallopian tube 2 days after the onset of her first menses. In this report, the patients clinical course is discussed with special emphasis on diagnostic imaging and management strategy of adnexal torsion in pubertal and adolescent girls.

Peritoneal metastases in children with cancer

This study attempted to evaluate the childhood malignancies associated with computed tomography (CT) detected peritoneal metastases as well as the diagnostic imaging characteristics of these metastases as shown on CT.

Simultaneous gastric and small intestinal trichobezoars.

Bezoars are conglomerates of food or fiber in the alimentary tract of humans and certain animals, mainly ruminants. A trichobezoar represents a mass of accumulated hair. Trichobezoars may present as an isolated gastric mass, as an extension into the small intestine, or as an independent fragmented mass in the small intestine. The presence of discrete coexisting gastric and ileal trichobezoars has been reported only rarely in the literature. This is a case report of a 9-year-old girl presenting with small-bowel obstruction secondary to synchronous trichobezoars in the stomach and ileum. The case highlights the role of imaging and importance of complete evaluation of the gastrointestinal tract at the time of surgical evacuation.

Epidermoid cyst of the spleen

A 13-year-old girl presented with a 1-year history of progressive left upper quadrant swelling and pain, without antecedent trauma. Ultrasound examination showed a 22-cm, debris-containing cystic mass without solid component or internal flow on Doppler interrogation. There appeared to be a “claw” sign suggesting a splenic origin of this mass (Fig. 1). CT confirmed the splenic origin (Fig. 2). Partial splenectomy with cyst removal was performed, yielding an epidermoid cyst. Splenic cysts are either true cysts (having an epithelial cell lining) or pseudocysts, indistinguishable on imaging. True