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Malrotation with midgut volvulus: CT findings of bowel infarction

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Abstract

Midgut volvulus, the most common serious complication of malrotation, can be diagnosed using conventional contrast fluoroscopy, US or CT. CT is a quick and comprehensive examination in the evaluation of complex acute abdominal pathology in children. Contrast-enhanced CT can readily help the radiologist recognize perfusion abnormalities of the bowel, which is vital for reducing morbidity and mortality in affected children. Our case emphasizes and demonstrates additional CT features of bowel infarction in a child with a proven malrotation with midgut volvulus.

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References

  1. Touloukian RJ, Smith EI (1998) Disorders of rotation and fixation. In: O’Neil JA, Rowe MI, Grosfield JL, et al (eds) Pediatric surgery, 5th edn. Mosby, St Louis, pp 1199–1214

  2. Clark LA, Oldham, KT (2000) Malrotation. In: Ashcraft KW, Murphy JP, Sharp RJ (eds) Pediatric surgery, 3rd edn. WB Saunders, Philadelphia, pp 426–434

    Google Scholar 

  3. Powell DM, Othersen HB, Smith CD (1989) Malrotation of the intestines in children: the effect of age on presentation and therapy. J Pediatr Surg 24:777–780

    CAS  PubMed  Google Scholar 

  4. Ai VH, Lam WW, Cheng W, et al (1999) CT appearance of midgut volvulus with malrotation in a young infant. Clin Radiol 54:687–689

    CAS  PubMed  Google Scholar 

  5. Bernstein SM, Russ PD (1998) Midgut volvulus: a rare cause of acute abdomen in an adult patient. AJR 171:639–641

    CAS  PubMed  Google Scholar 

  6. Berdon WE (1995) The diagnosis of malrotation and volvulus in the older child and adult: a trap for radiologists. Pediatr Radiol 25:101–103

    CAS  PubMed  Google Scholar 

  7. Jaramillo D, Raval B (1986) CT diagnosis of primary small-bowel volvulus. AJR 147:941–942

    CAS  PubMed  Google Scholar 

  8. Kassner EG, Kottmeier PK (1975) Absence and retention of small bowel gas in infants with midgut volvulus: mechanisms and significance. Pediatr Radiol 4:28–30

    CAS  PubMed  Google Scholar 

  9. Mori H, Hayashi K, Futagawa S, et al (1987) Vascular compromise in chronic volvulus with midgut malrotation. Pediatr Radiol 17:277–281

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, University of Massachusetts Medical Center, Worchester, MA, USA

    Jeremy Aidlen

  2. Pediatric Radiology, Massachusetts General Hospital, 34 Fruit St., White 246, Boston, MA, 02114, USA

    Sudha A. Anupindi & Diego Jaramillo

  3. Department of Pediatric Surgery, Massachusetts General Hospital, Boston, MA, USA

    Daniel P. Doody

Authors
  1. Jeremy Aidlen
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  2. Sudha A. Anupindi
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  3. Diego Jaramillo
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  4. Daniel P. Doody
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Corresponding author

Correspondence to Sudha A. Anupindi.

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Aidlen, J., Anupindi, S.A., Jaramillo, D. et al. Malrotation with midgut volvulus: CT findings of bowel infarction. Pediatr Radiol 35, 529–531 (2005). https://doi.org/10.1007/s00247-004-1355-9

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  • DOI: https://doi.org/10.1007/s00247-004-1355-9

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