Issue 10:3

Incarcerated Gastric Volvulus and Splenic Herniation. Abdominal Radiograph. Unannotated. JETem 2025

Case Report of Incarcerated Gastric Volvulus and Splenic Herniation in Undiagnosed Congenital Diaphragmatic Hernia in an Infant

Kate R Gelman*, Torren A Kalaskey*and Federico G. Seifarth, MD ^

DOI: https://doi.org/10.21980/J8VD27 Issue 10:3[mrp_rating_result]
An upper gastrointestinal series (UGI) showed an enteric tube with its tip in the stomach and side-port in the esophagus. There was a large amount of air in the stomach and a small volume of scattered distal bowel gas. The tip of an enteric tube was seen in the stomach (red arrow). Contrast partially filled the stomach, and the greater curvature was visualized superior to the lesser curvature in the left upper quadrant (blue arrow). The body of the stomach was herniated into the right chest through a Bochdalek hernia (blue star). There was a large amount of air in the stomach and a small volume of scattered distal bowel gas. These findings were consistent with mesenteroaxial gastric volvulus.
Visual EMAbdominal/GastroenterologyPediatrics
Mycoplasma Associated Acute Transverse Myelitis. MRI. Unannotated. JETem 2025

Beware of the Pediatric Limp: A Case of Mycoplasma Associated Acute Transverse Myelitis

Michael Neff, MD*, Nicholas Xie, MD^, Joseph Fong, MD† and Gregory Podolej, MD**

DOI: https://doi.org/10.21980/J8QQ1Q Issue 10:3[mrp_rating_result]
An MRI with contrast, T2 sequence was performed. In Figures a-d, the MRI of the patient’s brain and spinal cord on admission shows abnormal signals in the patient’s pons (lack of symmetrical gray-white differentiation on cross-section) along with hyperintensity (sagittally shown as brightness in what should be homogenously intense spinal cord) and significant central cord edema (with swelling seen as increased width) starting from C5 and continuing to the conus medullaris around L1/L2.
Visual EMNeurologyPediatrics
Calciphylaxis Photo LLE. JETem 2025 1

A Case Report of Calciphylaxis

Kim Hoang, BS*, Tien Lu, MD^, Alex Dang, MD^, Danielle Matonis, MD^

DOI: https://doi.org/10.21980/J8KW8V Issue 10:3[mrp_rating_result]
On arrival for this visit, the patient was nontoxic appearing with stable vital signs. The physical exam was notable for deep, ulcerated, bilateral anterior leg wounds with purulent drainage and large areas of eschar (see photographs).
Visual EMDermatologyInfectious DiseaseRenal/Electrolytes
Iatrogenic Bowel Perforation Following Dental Procedure. CT. Unannotated. JETem 2025

Case Report: Iatrogenic Bowel Perforation Following Dental Procedure

Claire DeLong, DO* and Frederick Fiesseler, DO*

DOI: https://doi.org/10.21980/J8CD38 Issue 10:3[mrp_rating_result]
The patient’s abdominal CT demonstrated a metallic foreign body in the left side of the abdomen within the small bowel, without surrounding induration or abscess. Radiology questioned whether the metallic foreign object perforated the bowel. Seen in the cross-sectional CT image, there is a hyperdense linear structure transversing the small intestinal wall, given that a portion of the structure was located outside of the lumen of the bowel.
Visual EMAbdominal/Gastroenterology