Computed tomographic diagnosis of midgut volvulus in a 5-year-old child

Abstract Malrotation with midgut volvulus requires prompt recognition and urgent treatment. We describe a 5-year-old boy who presented with malrotation and midgut volvulus in whom the diagnosis was made by computed tomography. We describe the diagnostic images and operative findings in the patient....

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Bibliographic Details
Published in:Journal of pediatric surgery 2010-09, Vol.45 (9), p.1913-1914
Main Authors: Short, Scott S, Haker, Katherine M, Frykman, Philip K
Format: Article
Language:English
Subjects:
Child, Preschool
Computed tomography
Digestive System Abnormalities
Humans
Intestinal Volvulus - congenital
Intestinal Volvulus - diagnostic imaging
Intestinal Volvulus - surgery
Intestines - abnormalities
Intestines - diagnostic imaging
Ladd procedure
Male
Malrotation
Mesenteric Artery, Superior - abnormalities
Mesenteric Artery, Superior - diagnostic imaging
Midgut volvulus
Pediatrics
Rotational anomalies
Superior mesenteric vessels
Surgery
Tomography, X-Ray Computed
Veins - abnormalities
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Summary:Abstract Malrotation with midgut volvulus requires prompt recognition and urgent treatment. We describe a 5-year-old boy who presented with malrotation and midgut volvulus in whom the diagnosis was made by computed tomography. We describe the diagnostic images and operative findings in the patient. This case highlights the importance of recognizing the inversion in orientation of the superior mesenteric vessels and “whirlpool” sign in making the diagnosis of midgut volvulus when few other clues may be present.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2010.04.016