JDMS Article - SDMS CME Credit

Article: A Pediatric Foreign Body Appendicitis Can Cause a Pitfall in Imaging

Authors: Muzaffer Ayaz, MD, Ahmet Aslan, MD, Gonca Gercel, MD, Sidiki Şeyma Özkanlı, MD, and Çiğdem Ulukaya Durakbaşa, MD

Category: Abdomen [AB]

Credit: 0.25 SDMS CME Credit

Objectives: After studying the article titled “A Pediatric Foreign Body Appendicitis Can Cause a Pitfall in Imaging,” you will be able to:

1. Describe the common location for perforation to occur from an ingested foreign body

2. Identify the most common type of ingested foreign body to cause perforation

3. Discuss limitations of sonography in imaging ingested foreign bodies

1. Although rare, what type of ingested foreign body is often the cause of perforation?

2. Sharp object

3. Nonorganic

4. Blunt object

Where is the common location for perforation to occur when a foreign body is ingested?

Stomach

Appendix

Small intestine

Colon

What is the accepted maximum outer diameter appendiceal wall measurement in children?

2 mm

4 mm

6 mm

8 mm

What is a limitation of sonography in imaging an ingested foreign body?

Shadowing from the foreign body

Unable to define the exact location of the foreign body

Difficulty imaging through bowel gas

Presence of reverberation artifact

Which sonographic appearance suggests appendiceal perforation?

Luminal distention

Increased outer diameter

Increased wall thickness

Discontinuity of the wall