Fifty-one pediatric patients (range, 1 mo. to 16 yr.), all of whom had normal clinical findings and laboratory data pertaining to the gallbladder and biliary tract, were examined by ultrasound. Scans showed a gradual increase in the size of the gallbladder with age; only one patient had a gallbladder diameter greater than 3.5 cm or a length greater than 7.5 cm. Wall thickness could be measured in 45 patients and was never more than 3 mm. The lumen of the common hepatic duct gradually increased with age but was never greater than 4 mm. The right portal vein also showed a gradual increase with age.

Seven of 10 patients with anorexia nervosa had ultrasonic and/or biochemical abnormalities of the pancreas. Seven patients had elevated amylase creatinine clearance ratios (greater than 4%), three patients had elevated serum amylase values (greater than 90 units/liter), and three patients had reduced echogenicity of the pancreas. There was no consistent association between presenting abdominal symptoms and abnormal ultrasonic and biochemical studies of the pancreas. After nutritional repletion, all studies reverted to normal. An eleventh patient, who was initially diagnosed as having anorexia nervosa but later found to have an astrocytoma of the medulla, had reduced echogenicity of the pancreas, suggesting malnutrition as the cause of these abnormal pancreatic studies. Pancreatic abnormalities due to protein-calorie malnutrition may be common in anorexia nervosa and must be differentiated from primary pancreatitis.

No abstract

A total of 116 consecutive obstetric ultrasound examinations were reviewed. An anechoic area was observed at the placental-endometrial junctionin all 54 fundal placentas, 51 of the 52 posterior placentas, and 9 of the 36 anterior placentas. Detail was enhanced by use of a focused transducer with digital gray-scale equipment, and visualization of anterior placentas was improved by placing a water bath between the transducer and the skin surface. The anechoic area was seen beginning in the twelfth week of gestation and corresponds best to the dilated vessels of the decidua basalis.