Skip to main content
Log in

Indications for pneumoperitoneum in the diagnosis of congenital anomalies in the umbilical region

  • Originals
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

Thirty pneumoperitoneograms were performed postmortem and 5 were performed for diagnosis: the technique itself, the radiological anatomy of the umbilical region, and the usefulness of the procedure in diagnosis are discussed. Pneumoperitoneum may be indicated in the investigation of a bleeding Meckel's diverticulum, in the exclusion or confirmation of remnants of the omphalomesenteric duct, in chronically moist lesions of the umbilicus resistant to symptomatic treatment, in suspected cases of non-communicating urachal cysts which cannot be diagnosed by cystogram, and in the differential diagnosis of abdominal tumours related to the umbilical region.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bree, R. L., Reuter, S. R.: Angiographic demonstration of a bleeding Meckel's diverticulum. Radiology108, 287 (1973)

    Google Scholar 

  2. Cullen, T. S.: Embryology, anatomy and diseases of the umbilicus, together with diseases of the urachus. Philadelphia: W. B. Saunders Company 1916

    Google Scholar 

  3. Duszynsky, D. O., Jewett, T. C., Allen, J. E.: Tc 99m Na Pertechnetate scanning of the abdomen with particular reference to small bowel pathology. Am. J. Roentgenol. Radium Ther. Nucl. Med.113, 258 (1971)

    Google Scholar 

  4. Gray, S. W., Skandalakis, J. E.: Embryology for Surgeons, pp. 156–167 and 525–529. Philadelphia: W. B. Saunders Company (Ed.) 1972

    Google Scholar 

  5. Grosfeld, J. L., Franken, E. A.: Intestinal obstruction in the neonate due to vitelline duct cysts. Surg. Gynecol. Obstet.138, 527 (1974)

    Google Scholar 

  6. Gryboski, J.: Gastrointestinal problems in the infant, pp. 201–227. Philadelphia: W. B. Saunders Company (Ed.) 1975

    Google Scholar 

  7. Hadley, M. N., Cogswell, H. D.: Unusual origin of Meckel's diverticulum from the base of the appendix. J. A. M. A.106, 537 (1936)

    Google Scholar 

  8. Kenigsberg, K.: Infection of umbilical artery simulating patent urachus. J. Pediatr.86, 151 (1975)

    Google Scholar 

  9. Kilpatrick, Z. M., Aseron, C. A., Jr.: Radioisotope detection of Meckel's diverticulum causing acute rectal hemorrhage. N. Engl. J. Med.287, 653 (1972)

    Google Scholar 

  10. Lippe, B. M., Gyepes, M. T., Kaplan, S. A.: Pelvic pneumography in children. Am. J. Roentgenol. Radium Ther. Nucl. Med.123, 829 (1975)

    Google Scholar 

  11. Meguid, M. N., Wilkinson, R. H., Canty, T., Eracklis, A. J., Treves, S.: Futility of barium sulfate in diagnosis of bleeding Meckel's diverticulum. Arch. Surg.108, 361 (1974)

    Google Scholar 

  12. Moore, T. C.: Omphalomesenteric duct anomalies. Surg. Gynecol. Obstet.103, 569 (1956)

    Google Scholar 

  13. Sanders, R. C., Oh, K. S., Dorst, J. P.: B-scan ultrasound Positive and negative contrast material evaluation of congenital urachal anomaly. Am. J. Roentgenol. Radium Ther. Nucl. Med.120, 448 (1974)

    Google Scholar 

  14. Shackelford, G. D., McAlister, W. H.: Pneumoperitoneography in the evaluation of congenital anomalies in the umbilical region. Radiology104, 361 (1972)

    Google Scholar 

  15. Singleton, A. O., Jr., King, W. B.: Persistent vitelline duct continuous with the appendix. Surgery29, 278 (1951)

    Google Scholar 

  16. Sloan, R. D., Stafford, E. S., Singewald, M. L., et al.: Meckel's diverticulum. Am. J. Roentgenol. Radium Ther. Nucl. Med.71, 64 (1954)

    Google Scholar 

  17. Steck, W. D., Helwing, E. B.: Umbilical granulomas, pilonidal disease and the urachus. Surg. Gynecol. Obstet.120, 1043 (1965)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vidal, J., Cortina, H., Alonso, A. et al. Indications for pneumoperitoneum in the diagnosis of congenital anomalies in the umbilical region. Pediatr Radiol 6, 147–152 (1977). https://doi.org/10.1007/BF00972106

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00972106

Key Words

Navigation