SRP Discussion
Overview
This session featured two rare cases to educate participants on how to handle such conditions. Cases included a patient with a stoma placed in the right hemiopdomen, a child with a large abdominal abscess, and a case of a lymphangioma or lymphovascular malformation.
Case 1. 14-month-old Female Patient Who Presented with Progressive Vomiting and a Descended Abdomen
This case was a 14-month-old female patient who presented with progressive vomiting and a descended abdomen. The patient was initially transferred to The Montreal Children's Hospital with a concern of rule out interception. Upon examination, the patient appeared hypoactive, lethargic, and had a descended abdomen. The patient's past medical history included chronic constipation and failure to thrive
Case 2. 8-year-old Female Patient with Abdominal Pain, Initially Suspected To Be Appendicitis
Case 2 described the case of an 8-year-old female patient with abdominal pain, initially suspected to be appendicitis but later determined to be a cystic lesion based on ultrasound findings. A laparoscopic procedure was performed to remove a mass from the omentum, which was successfully extracted without requiring bowel resection. Microscopic examination revealed the mass to be a lymphangioma or lymphovascular malformation, and the team emphasized the importance of radiation stewardship in pediatric cases.