Abstract Archives of the RSNA, 2014
PDE006-b
The Challenging Inguinal Canal Evaluation in Neonates and Children: An Update of Differential Diagnosis on Gray-scale and Color Doppler Sonography Assessment
Education Exhibits
Presented in 2014
Yoshino Tamaki Sameshima MD, Abstract Co-Author: Nothing to Disclose
Mauricio Yamanari, Abstract Co-Author: Nothing to Disclose
Daniel Calich Luz MD, Presenter: Nothing to Disclose
Mariana Athaniel Silva Rodrigues MD, Abstract Co-Author: Nothing to Disclose
Miguel Jose Francisco Neto MD, Abstract Co-Author: Nothing to Disclose
Marcelo Buarque Gusmao Funari MD, Abstract Co-Author: Nothing to Disclose
Erika Tae Koshimura, Abstract Co-Author: Nothing to Disclose
1.This paper presents an update of the most common pathologies that may affect the inguinal canal in neonates and infants, especially those related to the closure failure of the processus vaginalis, using ultrasonography as the imaging modality of choice.
2. Depending on the degree of processus vaginalis obliteration failure, different conditions may develop, such as non-communicating and communicating hydroceles, funicular hydrocele, spermatic cord cyst, cyst of the canal of Nuck, cryptorchidism and indirect inguinal hernia, conditions that will be shown in our presentation.
3. Despite being a less common in children, we also selected a case of direct inguinal hernia.
4. In some cases, early and accurate diagnosis is urgent to avoid possible complications, for example, incarcerated or strangulated inguinal hernia, or ovary herniation into the inguinal canal.
Introduction
Normal anatomy of the inguinal canal
Embriology of the inguinal canal
Main pathologies of the inguinal canal in children:
-Hydrocele
a.Non-communicating
b.Communicating
c.Hydrocele of spermatic cord
d.Abdominoscrotal
e.Cyst of Nuck
-Inguinal Hernia
a.Indirect inguinal hernia
b.Direct inguinal hernia
-Cryptorchidism
http://abstract.rsna.org/uploads/2014/14015823/14015823_elny.pdf
Sameshima, Y,
Yamanari, M,
Luz, D,
Rodrigues, M,
Francisco Neto, M,
Funari, M,
Koshimura, E,
The Challenging Inguinal Canal Evaluation in Neonates and Children: An Update of Differential Diagnosis on Gray-scale and Color Doppler Sonography Assessment. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14015823.html