intestinal malrotation and midgut volvulus

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ID: 187716
2016
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Abstract
A four-day-old boy presented with persistent bilious vomiting, bloody stained stool, and mild abdominal distension. Transabdominal ultrasound demonstrated a round soft-tissue mass-like structure in the right upper quadrant. With color Doppler ultrasound, the whirlpool sign was observed. Abdominal radiograph showed nonspecific findings. Upper gastrointestinal series revealed upper gastrointestinal tract obstruction at the level of distal duodenum. The diagnosis of intestinal malrotation with midgut volvulus was established and the treated surgically. Intestinal malrotation is congenital abnormal positioning of the bowel loops within the peritoneal cavity resulting in abnormal shortening of mesenteric root that is predisposed to midgut volvulus. Neonates and infants with persistent bilious vomiting should undergo diagnostic workup and preferably ultrasound as the first step. With classic sonographic appearance of whirlpool sign, even further imaging investigations is often not needed, and the surgeon should be alerted to plan surgery.
Reference Key
md2016radiologyintestinal Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Hidayatullah Hamidi, MD;Yalda Obaidy, MD;Sahar Maroof, MD
Journal Thrombosis research
Year 2016
DOI
10.1016/j.radcr.2016.05.012
URL
http://www.sciencedirect.com/science/article/pii/S1930043316300152
Keywords
nuclear medicine medical radiology

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