M. Paetzel (Cleveland/USA)  

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2,5 Months  

N/A  

Abdomen-Vessels  

congenital  

2.5 month old infant with intermittant minimal marmorated skin of the distal half of the body. Due to this, this patient was referred to ultrasound.  

The cause of the shown stenosis of the aorta is not surely proven. A developmental anomoly is surely possible and a post-angitic change (prenatal) is also conceivable.  

<- view Ultrasound 1

Ultrasound 1: The abdominal aorta tapers off continuously (viewable) in the upper retroperitoneal space.





<- view Ultrasound 2

Ultrasound 2: Flow velocities of 3 m/s were measured. Strong mesenteric superior artery.





<- view MRI 1

MRI 1: T1-tra after contrast in the region of the diaphragmatic hiatus.




<- view MRI 2

MRI 2: T1-tra after contrast in the region of the renal artery




<- view MRI 3

MRI 3: T1-tra after contrast in the region just above the aortic birfurcation.




<- view MRI 4

MRI 4: MIP-Projection of the T1-GE-Sequence after contrast shown ventrally. A left-sided running atypically large vessel of the mesenteric superior artery (MSA) to the common iliac artery (bypass circulation).




<- view MRI 5

MRI 5: MIP-Projection of the T1-GE-sequence after contrast (slightly rotated to the left)




<- view MRI 6

MRI 6: MIP-Projection of the T1-GE-sequence after contrast (further rotated)




<- view MRI 7

MRI 7: MIP-Projection of the T1-GE-sequence after contrast (lateral).

 

Imaging including endoscopy  

N/A  

N/A  

N/A  

N/A  

N/A  

abdominal Aorta, Aorta abdominalis, stenosis, skin marmoration, marmorated skin, stenosis of the abdominal Aorta, abdominal Aorta stenosis, child, childhood, pediatric radiology  

M Paetzel. Stenosis of the abdominal Aorta in an infant. PedRad [serial online] vol 3, no. 7.
URL: www.PedRad.info/?search=20030729102808