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.
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Bree, R. L., Reuter, S. R.: Angiographic demonstration of a bleeding Meckel's diverticulum. Radiology108, 287 (1973)
Cullen, T. S.: Embryology, anatomy and diseases of the umbilicus, together with diseases of the urachus. Philadelphia: W. B. Saunders Company 1916
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)
Gray, S. W., Skandalakis, J. E.: Embryology for Surgeons, pp. 156–167 and 525–529. Philadelphia: W. B. Saunders Company (Ed.) 1972
Grosfeld, J. L., Franken, E. A.: Intestinal obstruction in the neonate due to vitelline duct cysts. Surg. Gynecol. Obstet.138, 527 (1974)
Gryboski, J.: Gastrointestinal problems in the infant, pp. 201–227. Philadelphia: W. B. Saunders Company (Ed.) 1975
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)
Kenigsberg, K.: Infection of umbilical artery simulating patent urachus. J. Pediatr.86, 151 (1975)
Kilpatrick, Z. M., Aseron, C. A., Jr.: Radioisotope detection of Meckel's diverticulum causing acute rectal hemorrhage. N. Engl. J. Med.287, 653 (1972)
Lippe, B. M., Gyepes, M. T., Kaplan, S. A.: Pelvic pneumography in children. Am. J. Roentgenol. Radium Ther. Nucl. Med.123, 829 (1975)
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)
Moore, T. C.: Omphalomesenteric duct anomalies. Surg. Gynecol. Obstet.103, 569 (1956)
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)
Shackelford, G. D., McAlister, W. H.: Pneumoperitoneography in the evaluation of congenital anomalies in the umbilical region. Radiology104, 361 (1972)
Singleton, A. O., Jr., King, W. B.: Persistent vitelline duct continuous with the appendix. Surgery29, 278 (1951)
Sloan, R. D., Stafford, E. S., Singewald, M. L., et al.: Meckel's diverticulum. Am. J. Roentgenol. Radium Ther. Nucl. Med.71, 64 (1954)
Steck, W. D., Helwing, E. B.: Umbilical granulomas, pilonidal disease and the urachus. Surg. Gynecol. Obstet.120, 1043 (1965)
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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
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DOI: https://doi.org/10.1007/BF00972106