Delayed presentation of malrotation and midgut volvulus

Imaging findings

Page Green, Leonard E. Swischuk, J. Alberto Hernandez

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Midgut volvulus presenting outside the neonatal period often manifests with less than classic findings. One must be ever vigilant for any deviation from normal when imaging the gastrointestinal tract in these patients. Plain films often are noncontributory, and gastrointestinal imaging findings frequently are subtle and not exactly the same as those seen in classic cases in the neonatal period. Cases are presented illustrating the following: abnormal but less than classic small bowel location and configuration, malabsorption and fortuitous spiraling of a nasogastric tube, viral gastroenteritis and pseudo intussusception, intractable vomiting and dehydration with abnormal cecal position, and duodenal obstruction: pseudo SMA syndrome. Fortunately, one now can confirm one's suspicions with computed tomography and ultrasound in terms of determining whether the superior mesenteric artery and superior mesenteric vein positions are normal or reversed.

Original languageEnglish (US)
Pages (from-to)379-382
Number of pages4
JournalEmergency Radiology
Volume14
Issue number6
DOIs
StatePublished - Nov 2007

Fingerprint

Duodenal Obstruction
Mesenteric Veins
Superior Mesenteric Artery
Intussusception
Gastroenteritis
Motion Pictures
Dehydration
Vomiting
Gastrointestinal Tract
Tomography
Volvulus Of Midgut

Keywords

  • Children
  • Delayed
  • Midgut volvulus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Delayed presentation of malrotation and midgut volvulus : Imaging findings. / Green, Page; Swischuk, Leonard E.; Hernandez, J. Alberto.

In: Emergency Radiology, Vol. 14, No. 6, 11.2007, p. 379-382.

Research output: Contribution to journalArticle

Green, Page ; Swischuk, Leonard E. ; Hernandez, J. Alberto. / Delayed presentation of malrotation and midgut volvulus : Imaging findings. In: Emergency Radiology. 2007 ; Vol. 14, No. 6. pp. 379-382.
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