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No abstract available

Agenesis of the dorsal mesentery presenting in an adolescent

Agenesis of the dorsal mesentery is a rare occurrence that usually presents in children. It is associated with proximal small-bowel malrotation as well as high jejunal atresia with discontinuity of the small bowel. We present a case report of an adolescent presenting with clinical features of proximal small-bowel obstruction (confirmed on imaging) as well as acute pancreatitis. At laparotomy, he was found to have no dorsal mesentery, without small-bowel atresia, and the duodenum was fixed to the posterior abdominal wall. The patient recovered well and remained symptom-free.www.sajhivmed.org.zaam201

Hypoxic brain injury and cortical blindness in a victim of a Mozambican spitting cobra bite

Snakebite and the subsequent envenomation is a serious and potentially fatal illness, owing to the effects of the various toxins present in the venom. Cortical blindness following bites containing neurotoxin is a rare complication. We describe the clinical findings and imaging in a child who sustained significant brain injury following a bite from a Mozambican spitting cobra. We also discuss the venom composition, complications and appropriate management of such cases.http://www.sajs.org.za/index.php/sajsam201

Curved reformat of the paediatric brain MRI into a ‘flat-earth map’ — standardised method for demonstrating cortical surface atrophy resulting from hypoxic–ischaemic encephalopathy

Hypoxic–ischaemic encephalopathy is optimally imaged with brain MRI in the neonatal period. However neuroimaging is often also performed later in childhood (e.g., when parents seek compensation in cases of alleged birth asphyxia). We describe a standardised technique for creating two curved reconstructions of the cortical surface to show the characteristic surface changes of hypoxic–ischaemic encephalopathy in children imaged after the neonatal period. The technique was applied for 10 cases of hypoxic–ischaemic encephalopathy and also for age-matched healthy children to assess the visibility of characteristic features of hypoxic–ischaemic encephalopathy. In the abnormal brains, fissural or sulcal widening was seen in all cases and ulegyria was identifiable in 7/10. These images could be used as a visual aid for communicating MRI findings to clinicians and other interested parties

Subpubic cartilaginous cyst : a rare cause of a pelvic soft tissue mass

We present a rare case of subpubic cartilaginous cyst in a multiparous female patient as a cause of a pelvic soft tissue (vulvar) mass. We discuss the relevant imaging and differential diagnosis as well as specific considerations in making the diagnosis of a subpubic cartilaginous cyst.www.saoa.org.zaam2016Radiolog

A rare case of heterotaxy and left ventricular non-compaction in an adult

Heterotaxy syndrome with left ventricular non-compaction is a rare co-existence of abnormalities with unknown cause. It can be isolated with no other associations, or associated with congenital heart diseases, or it can occur with multiple other congenital abnormalities. We describe the third reported case of heterotaxy syndrome with left ventricular non-compaction presenting in an adult.http://www.cvja.co.zaam2016Radiolog

Cranium bifidum occultum

No abstract availablehttp://www.karger.com/PNEhb201

Incidental right Bochdalek hernia with interruption of the inferior vena cava and hepatic venous collateral continuation : a case report

A 36-year-old asymptomatic female had a routine chest radiograph to exclude pulmonary tuberculosis, as part of an employee wellness programme. There was opacification of the right lower thorax. Computed tomography and venography demonstrated an incidental right Bochdalek hernia with interruption of the inferior vena cava (IVC) and hepatic venous collateral continuation. The association of a Bochdalek hernia with an anomaly of the IVC is rare, with only one case described in the literature.http://sajr.org.zaam201

Incidental right Bochdalek hernia with interruption of the inferior vena cava and hepatic venous collateral continuation : a case report

A 36-year-old asymptomatic female had a routine chest radiograph to exclude pulmonary tuberculosis, as part of an employee wellness programme. There was opacification of the right lower thorax. Computed tomography and venography demonstrated an incidental right Bochdalek hernia with interruption of the inferior vena cava (IVC) and hepatic venous collateral continuation. The association of a Bochdalek hernia with an anomaly of the IVC is rare, with only one case described in the literature.http://sajr.org.zaam201

Tracheal bronchus and pulmonary, hepatic and renal vascular congenital abnormalities - a case report

Tracheal bronchus, also referred to as bronchus suis or pig’s bronchus, is a rare tracheobronchial anomaly in which an ectopic bronchus arises from the lateral wall of the trachea above the carina and supplies the entire upper lobe or a segment of the upper lobe. It affects 0.5 - 2% of the population and may be detected incidentally, or in patients who present with bronchospasm, persistent cough, recurrent upper lobe infections and haemoptysis. Surgical resection is reserved for patients with severe or persistent symptoms that are resistant to treatment. We present a case of a symptomatic 5-month-old baby who had a type II right-sided tracheal bronchus on bronchography and CT.http://www.journals.co.za/sama/m_sajr.htmlam201