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Pediatric Ménétrier Disease: CT and Endoscopic Findings of Giant Gastric Folds in a 5-Year-Old Boy

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  Edited by ScholarGen MediAI Team Executive Answer Ménétrier disease is a rare protein-losing gastropathy characterized by markedly enlarged gastric rugal folds, typically involving the gastric body and fundus, with associated hypoalbuminemia and edema. In this 5-year-old boy, the combination of nausea, vomiting, intermittent abdominal pain, mild periorbital edema, severe hypoalbuminemia, and giant cerebriform gastric folds on contrast-enhanced CT and endoscopy strongly supports pediatric Ménétrier disease. Gastric biopsy demonstrated foveolar hyperplasia with glandular atrophy, while testing for Helicobacter pylori and viral inclusions was negative. Technetium-99m-labeled human serum albumin scintigraphy demonstrated gastrointestinal protein loss. The child improved with supportive treatment, with symptoms resolving four months after presentation. Why This Case Matters Pediatric Ménétrier disease is uncommon and can initially resemble a much more routine gastrointestinal illness...
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Ileoileal Intussusception in a 1-Year-Old Boy: Ultrasound Findings, Bowel Ischemia, and Meckel Diverticulum as a Lead Point

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Edited by ScholarGen MediAI Team Executive Answer Ileocolic intussusception is an uncommon form of pediatric intussusception in which one segment of ileum telescopes into an adjacent segment of ileum. In this 1-year-old boy, persistent vomiting despite treatment prompted abdominal radiography followed by ultrasound. The radiographs showed dilated small-bowel loops and multiple air-fluid levels with little gas in the lower abdomen, suggesting small-bowel obstruction. Ultrasound demonstrated the characteristic layered appearance of small-bowel intussusception, including a pseudokidney appearance on longitudinal imaging. Color Doppler showed partially preserved wall vessels but absent detectable flow in portions of the involved bowel, raising concern for ischemia. Surgery confirmed irreducible ileoileal intussusception with bowel ischemia, requiring resection. Pathology identified a Meckel diverticulum, which was considered the pathologic lead point. Why This Case Matters Intussusception ...
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Hypoplastic Left Heart Syndrome in an Adult: CT Findings After Fontan Palliation

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  A radiologist-focused review of HLHS, Fontan anatomy, absent IVC with azygos continuation, and Fontan-associated liver disease. A 25-Year-Old Man With Persistent Chest Pain Edited by ScholarGen MediAI Team Executive Answer A 25-year-old man presented with persistent chest pain, and contrast-enhanced cardiac CT demonstrated the characteristic anatomy of hypoplastic left heart syndrome (HLHS) after Fontan palliation. The key findings include a severely underdeveloped left-sided cardiac system, mitral stenosis, a lateral-tunnel Fontan pathway, a widely patent atrial septal communication, and marked right ventricular enlargement. The CT also  shows a prominent systemic venous anomaly consistent with  an absent  inferior vena cava (IVC) with azygos continuation . An additional upper-abdominal image shows an irregular hepatic contour consistent with cirrhosis, illustrating an important long-term complication of Fontan physiology. Why This Case Matters Hypoplastic left h...
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