279 results match your criteria Midgut Volvulus Imaging


Exploring the neglected segment of the intestine: the duodenum and its pathologies.

Pol J Radiol 2020 8;85:e230-e244. Epub 2020 May 8.

Department of Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Herein we reviewed the computed tomography (CT) findings of a spectrum of pathological entities affecting the duodenum. We discuss the CT findings of some congenital, inflammatory, traumatic, and neoplastic pathologies of the duodenum along with the conventional barium studies of selected conditions. Pathologies of this C-shaped intestinal segment, derived from both foregut and midgut, are often overlooked in clinical practice and radiological literature. Read More

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http://dx.doi.org/10.5114/pjr.2020.95477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315055PMC

Prenatal diagnosis of midgut volvulus with jejunal atresia by ultrasonography.

J Obstet Gynaecol Res 2020 Jul 25;46(7):1203-1206. Epub 2020 May 25.

Department of Ultrasound, Guangdong Women and Children's Hospital, Guangzhou, China.

Prenatal midgut volvulus is difficult to diagnose, and it is particularly difficult to evaluate the degree of rotation, which may be related to prognosis. We present a rare case of prenatal midgut volvulus with a 720° rotation around the superior mesenteric artery diagnosed based on ultrasonography, and jejunal atresia was noted at the same time. This condition was supported by prenatal magnetic resonance imaging and the subsequent postnatal operation. Read More

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http://dx.doi.org/10.1111/jog.14296DOI Listing

Choledochal cyst mimicker-When small bowel length matters.

Int J Surg Case Rep 2020 29;68:132-135. Epub 2020 Feb 29.

Department of Surgery, University of the West Indies, San Fernando General Hospital, San Fernando, Trinidad and Tobago; Westshore Medical Limited, Cocorite, Trinidad and Tobago.

Objective: Due to the risk of malignancy, the established management of choledochal cysts mandates bile duct excision and biliary reconstruction. While the reconstructive procedure of choice for most surgeons has traditionally been hepatico-jejunostomy, this may not be feasible in selected cases due to immobility or inadequacy of the jejunum. The following case will outline the management of a 32-year-old woman with short bowel syndrome, who was diagnosed with choledocholithiasis and a type 1 choledochal cyst. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058850PMC
February 2020

The role of sonography in differentiating congenital intrinsic duodenal anomalies from midgut malrotation: emphasizing the new signs of duodenal and gastric wall thickening and hyperechogenicity.

Pediatr Radiol 2020 05 23;50(5):673-683. Epub 2020 Jan 23.

Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Background: The clinical and plain radiographic differentiation of congenital intrinsic duodenal anomalies (atresia, web, stenosis) from intestinal malrotation is not always clear. Although sonography has been documented as an important diagnostic tool in the differentiation of these two entities, its role is still not widely appreciated and it is still not universally utilized in this clinical setting.

Objective: To assess the usefulness of sonographic features of the duodenal and gastric wall in the differentiation of congenital intrinsic duodenal anomalies from midgut malrotation in a large series of neonates and to compare them with other features on abdominal radiographs, ultrasound and upper gastrointestinal series. Read More

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http://dx.doi.org/10.1007/s00247-020-04616-1DOI Listing

[Assessment of fetal superior mesenteric artery and vein by three-dimensional power Doppler sonography].

Zhejiang Da Xue Xue Bao Yi Xue Ban 2019 Jun;48(4):453-458

Department of Ultrasonography, the Third Xiangya Hospital, Central South University, Changsha 410013, China.

Objective: To analyze the application of three-dimensional power Doppler sonography (3-DPDS) in evaluation of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) in second-trimester fetus.

Methods: Three-dimensional volume probe was used to collect the 3-DPDS blood flow images in 50 normal fetuses of 22-24 weeks and 50 fetuses of 30-32 weeks, respectively. The characteristics of three-dimensional ultrasound were analyzed. Read More

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Congenital intestinal malrotation presenting in octogenarians: a report of two cases.

Ann R Coll Surg Engl 2020 Jan 20;102(1):e12-e14. Epub 2019 Dec 20.

Ealing Hospital, London North West University Healthcare NHS Trust, Southall, London, UK.

Malrotation is part of a spectrum of small and large bowel positional and fixational abnormalities caused by the failure of the fetal intestine to complete a 270-degree rotation around the superior mesenteric artery axis. Rarely, it presents in the adult as a cause of acute small bowel obstruction. Chronic symptoms of malrotation in adults are subtle, and include intermittent abdominal pain, nausea and vomiting. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937603PMC
January 2020

Whirlpool sign in midgut volvulus: imaging intraoperative correlation.

ANZ J Surg 2020 Jun 6;90(6):1197-1198. Epub 2019 Nov 6.

Department of GI Surgery, Indraprastha Apollo Hospital, New Delhi, India.

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http://dx.doi.org/10.1111/ans.15540DOI Listing
June 2020
1 Read

Nutcracker syndrome complicated with intestinal malrotation.

BMJ Case Rep 2019 Oct 10;12(10). Epub 2019 Oct 10.

Pediatrics, TOYOTA Memorial Hospital, Toyota, Aichi, Japan.

Nutcracker syndrome (NCS) is a pathological condition in which the left renal vein (LRV) is compressed between the superior mesenteric artery (SMA) and aorta. NCS can predispose patients to the onset of chronic kidney disease because of persistent increase in LRV pressure. Although NCS in children is often idiopathic, it can also be caused by underlying pathologies such as retroperitoneal tumours. Read More

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http://dx.doi.org/10.1136/bcr-2019-231230DOI Listing
October 2019
2 Reads

Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review.

J Radiol Case Rep 2019 Jul 31;13(7):29-43. Epub 2019 Jul 31.

Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon.

The dilemma of acute non-traumatic abdominal pathologies in the pediatric population depends on the age of the patients and symptoms. Surgical etiologies in patients younger than 2 years of age include intussusception, pyloric stenosis, malrotation and midgut volvulus. In older patients, considerations become closer to differential etiologies in adults including acute appendicitis. Read More

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http://dx.doi.org/10.3941/jrcr.v13i7.3443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738493PMC
July 2019
4 Reads

The role of sonography for depiction of a whirlpool sign unrelated to midgut malrotation in neonates.

Pediatr Radiol 2020 01 10;50(1):46-56. Epub 2019 Sep 10.

Division of General and Thoracic Surgery, Hospital for Sick Children, Toronto, ON, Canada.

Background: The sonographic whirlpool sign of volvulus due to midgut malrotation is well recognized. However, variations of the whirlpool sign may be seen in other conditions, but this observation has received little attention in the literature.

Objective: This study presents a series of neonates with a variety of causes of congenital intestinal obstruction, all associated with a whirlpool sign (unrelated to midgut volvulus), which was correctly recognized preoperatively on sonography. Read More

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http://dx.doi.org/10.1007/s00247-019-04508-zDOI Listing
January 2020
4 Reads

Primary midgut volvulus in a patient with Marfan syndrome.

J Surg Case Rep 2019 Feb 8;2019(2):rjz031. Epub 2019 Feb 8.

Department of Surgery, University of Texas, Houston, TX 77030, USA.

Marfan syndrome is a mutation in the fibrillin-1 gene resulting in a connective tissue disorder primarily affecting musculoskeletal, cardiovascular and ocular systems. However, patients with Marfan's rarely manifest gastrointestinal symptoms. Midgut volvulus is abnormal twisting of small bowel around its mesentery that can result in compromising blood flow to the bowel causing intestinal ischemia and obstruction. Read More

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http://dx.doi.org/10.1093/jscr/rjz031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368202PMC
February 2019
9 Reads

Second-trimester presentation of midgut volvulus without intestinal malrotation.

Ultrasound Obstet Gynecol 2019 09;54(3):422-423

Department of Obstetrics and Gynecology, Charles University in Prague, Faculty of Medicine in Hradec Kralove, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.

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http://dx.doi.org/10.1002/uog.20239DOI Listing
September 2019
5 Reads

A Multi-institutional Case Series With Review of Point-of-Care Ultrasound to Diagnose Malrotation and Midgut Volvulus in the Pediatric Emergency Department.

Pediatr Emerg Care 2019 Jun;35(6):443-447

Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT.

Point-of-care ultrasound can be used to screen for malrotation with and without volvulus in the newborn with bilious vomiting, as well as children with unexplained intermittent abdominal pain. We discuss cases where infants and children presenting to pediatric emergency departments with bilious vomiting and/or intermittent abdominal pain were initially screened for small bowel pathology with point-of-care ultrasound. Bedside findings suggestive of midgut volvulus were confirmed with radiology-performed ultrasound or upper gastrointestinal fluoroscopy. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001737DOI Listing
June 2019
6 Reads

Rare copy number variants contribute pathogenic alleles in patients with intestinal malrotation.

Mol Genet Genomic Med 2019 03 10;7(3):e549. Epub 2019 Jan 10.

Department of Women's and Children's Health and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.

Background: Intestinal malrotation is a potentially life-threatening congenital anomaly due to the risk of developing midgut volvulus. The reported incidence is 0.2%-1% and both apparently hereditary and sporadic cases have been reported. Read More

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http://dx.doi.org/10.1002/mgg3.549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6418355PMC
March 2019
30 Reads

Worsening anemia associated with volvulus in a stable neonate with intestinal obstruction.

J Neonatal Perinatal Med 2018 ;11(4):417-422

Faculty of Medicine, University of Ottawa, Canada.

Intrauterine intestinal obstruction complicated by midgut volvulus is a serious life-threatening diagnosis. Immediate surgical intervention is generally the course of action upon diagnosis to prevent morbidity and mortality. We report a case of intrauterine intestinal obstruction where the neonate then presented with an unusual onset of volvulus within the first 12 hours of life. Read More

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http://dx.doi.org/10.3233/NPM-17118DOI Listing
April 2019
11 Reads

Prenatal diagnosis of antenatal midgut volvulus: Specific ultrasound features.

Prenat Diagn 2019 01 9;39(1):16-25. Epub 2018 Dec 9.

Department of Pediatric Imaging, CHU Montpellier, Montpellier, France.

Objective: To assess specific, direct, and indirect prenatal ultrasound features in cases of fetal midgut volvulus.

Methods: Retrospective case series of neonatal volvulus, based on postnatal and prenatal imaging findings that occurred from 2006-2017. Prenatal and postnatal signs including the specific "whirlpool sign" were computed. Read More

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http://dx.doi.org/10.1002/pd.5392DOI Listing
January 2019
9 Reads

An Unusual Case of Intestinal Malrotation Causing Duodenal Obstruction by a Looped Appendix.

Am J Case Rep 2018 Nov 15;19:1362-1365. Epub 2018 Nov 15.

Department of General Surgery, Mount Lebanon Hospital, Beirut, Lebanon.

BACKGROUND Bowel obstruction is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Intestinal malrotation is one of the rarest causes of mechanical bowel obstruction. In adults, the incidence rate is 0. Read More

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https://www.amjcaserep.com/abstract/index/idArt/913039
Publisher Site
http://dx.doi.org/10.12659/AJCR.913039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250999PMC
November 2018
46 Reads

Identification of clinical parameters to increase the diagnostic yield of the non-emergent upper gastrointestinal series in pediatric outpatients.

Pediatr Radiol 2019 02 24;49(2):162-167. Epub 2018 Oct 24.

Department of Radiology, Montefiore Medical Center, 111 East 210th St, Bronx, NY, 10467, USA.

Background: Outpatient, non-emergent upper gastrointestinal (GI) series are frequently requested in children with no surgical history who have nonspecific symptoms such as abdominal pain, failure to thrive and vomiting. The positive yield of an upper GI series in these patients, and, thus, its utility, has not been studied.

Objectives: We evaluated the incidence of positive upper GI findings in children without a history of GI pathology or abdominal surgery in order to identify clinical indications associated with a greater diagnostic yield. Read More

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http://link.springer.com/10.1007/s00247-018-4286-6
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http://dx.doi.org/10.1007/s00247-018-4286-6DOI Listing
February 2019
32 Reads

Wandering spleen and intestinal malrotation.

Cir Esp 2019 Apr 4;97(4):232. Epub 2018 Oct 4.

Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S0009739X183023
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http://dx.doi.org/10.1016/j.ciresp.2018.08.014DOI Listing
April 2019
2 Reads

Jejuno-jejunal invagination in a patient with intestinal malrotation.

Cir Esp 2019 Mar 10;97(3):175. Epub 2018 Sep 10.

Servicio de Medicina Interna, Hospital de Cabueñes, Gijón, Asturias, España.

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http://dx.doi.org/10.1016/j.ciresp.2018.07.009DOI Listing
March 2019
1 Read

Novel variant of reversed midgut rotation - retro-arterial proximal jejunum and transverse colon: a case report and review of the literature.

J Med Case Rep 2018 Sep 14;12(1):261. Epub 2018 Sep 14.

Department of Radiology, Ortenau Klinikum Offenburg-Gengenbach, Ebertplatz 12, 77654, Offenburg, Germany.

Background: Reversed rotation of the midgut is the rarest variation of midgut malrotations, which are congenital disorders that result from aberrant rotation and fixation of the midgut during embryological development. Common complications of these disorders are small bowel obstruction by volvulus or peritoneal bands, usually occurring in early infancy.

Case Presentation: A 23-year-old Caucasian woman presented with recurrent abdominal pain. Read More

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http://dx.doi.org/10.1186/s13256-018-1802-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137938PMC
September 2018
3 Reads

Diagnosis and surgical management of congenital intestinal malrotation presenting with midgut volvulus in an adult: high index of suspicion (case report).

Pan Afr Med J 2018 15;29:154. Epub 2018 Mar 15.

University of Botswana, Department of Library Services, Gaborone, Botswana.

Congenital intestinal malrotation is a gastrointestinal anomaly whose most serious complication is midgut volvulus. More commonly, it presents as an incidental finding at laparotomy, or as a finding on diagnostic imaging (Ultrasound, CT, Upper GI contrast study). Most patients are diagnosed in childhood. Read More

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http://dx.doi.org/10.11604/pamj.2018.29.154.13910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057601PMC
August 2018
15 Reads

Pneumatosis intestinalis in an adult patient with antral stenosis and midgut malrotation.

BMJ Case Rep 2018 Jul 19;2018. Epub 2018 Jul 19.

Department of Emergency Medicine, Emergency Medicine Research Center (Al-Zahra Research Institute), Isfahan University of Medical Sciences, Isfahan, Iran.

Pneumatosisintestinalis (PI) is a radiological finding with about 0.03% incidence and incompletely understood pathogenesis. We report a case of PI with a rare presentation of pneumoperitoneum that underwent diagnostic surgery and finally diagnosed by midgut malrotation and antral stenosis. Read More

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http://dx.doi.org/10.1136/bcr-2017-223238DOI Listing
July 2018
18 Reads

Small bowel gastrointestinal stromal tumor disguised as an adnexal mass: a source for midgut volvulus.

J Surg Case Rep 2018 Jul 3;2018(7):rjy157. Epub 2018 Jul 3.

Arnot Ogden Medical Center, General Surgery, 600 Ivy Street Suite 206, Elmira, NY, USA.

Background: The abdominal cavity has an infinite number of potential pathologies and gynecologic pathology is often intertwined with intestinal disease.

Case Presentation: A 74-year-old female believed to have an adnexal mass on prior imaging presented with small bowel obstruction, which failed to resolve with non-operative management. Given her suspected adnexal mass, multidisciplinary operative intervention was arranged. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy15
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http://dx.doi.org/10.1093/jscr/rjy157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031059PMC
July 2018
7 Reads

Role of the ultrasonographic 'whirlpool sign' in intestinal volvulus: a systematic review and meta-analysis.

ANZ J Surg 2018 11 8;88(11):1108-1116. Epub 2018 May 8.

Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Intestinal volvulus is a potentially life-threatening condition that occurs when loops of bowel twist around its supporting mesentery and associated vasculature. Clinicians often rely on various radiological investigations for prompt diagnosis to avoid complications such as bowel infarction. This review assesses the clinical reliability of the ultrasonographic whirlpool sign (WS) in the diagnosis of intestinal volvulus. Read More

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http://dx.doi.org/10.1111/ans.14495DOI Listing
November 2018
22 Reads
1.118 Impact Factor

Infant With Episodes of Bilious Vomiting.

Ann Emerg Med 2018 May;71(5):652-657

Division of Pediatric Emergency Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1016/j.annemergmed.2017.11.012DOI Listing
May 2018
3 Reads

Left-Sided Appendicitis in a 14-Year Girl with Midgut Malrotation.

J Coll Physicians Surg Pak 2018 Apr;28(4):317-319

Department of Orthopedic Surgery, Combined Military Hospital, Rawalpindi.

We present a case of 14-year girl with left-sided acute appendicitis who presented with lower abdominal pain. Midgut malrotation occurs at a rate of 1 in 500 live births. The condition is incidentally diagnosed during various radiological investigations done for other purposes. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.04.317DOI Listing
April 2018
23 Reads

Intestinal malrotation: A rare cause of chronic recurrent abdominal pain.

Gastroenterol Hepatol 2018 Apr 26;41(4):270-271. Epub 2018 Feb 26.

Gastroenterology and Hepatology Unit, Hospital Ramón y Cajal, Madrid, Spain.

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http://dx.doi.org/10.1016/j.gastrohep.2017.12.011DOI Listing
April 2018
5 Reads

Detecting Intestinal Malrotation on Hepatobiliary Scintigraphy: Making a Case for a Better Standardized Reporting Template.

Clin Nucl Med 2018 Apr;43(4):289-293

From the Section of Nuclear Medicine, Department of Radiology, Milton S. Hershey Medical Center, Penn State University, Hershey, PA.

Intestinal malrotation displays classic pattern of the small bowel activity on hepatobiliary scintigraphy that could lead to the diagnosis, but only if an interpreting physician looks for it. Presented are 2 cases, one demonstrates diagnostic findings during the first 60-minute phase, whereas the other reveals the diagnosis only on the later sincalide stimulation phase. The currently recommended structured reporting for hepatobiliary scintigraphy does not include examination of bowel activity pattern, which could result in a missed diagnosis. Read More

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http://Insights.ovid.com/crossref?an=00003072-900000000-9774
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http://dx.doi.org/10.1097/RLU.0000000000001983DOI Listing
April 2018
6 Reads

The efficiency of sonography in diagnosing volvulus in neonates with suspected intestinal malrotation.

Medicine (Baltimore) 2017 Oct;96(42):e8287

Department of Medical Ultrasonics, Qianfoshan Hospital Affiliated to Shan Dong University, Jinan, China.

This study is to prospectively evaluate the efficiency of sonography for volvulus diagnosis in neonates with clinically suspected intestinal malrotation.A total of 83 patients with suspected intestinal malrotation who underwent detailed abdominal sonography and upper gastrointestinal contrast study were included. Malrotation was characterized by inversion of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) in sonographic examination. Read More

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http://dx.doi.org/10.1097/MD.0000000000008287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662394PMC
October 2017
19 Reads

Radiographic measurement of intestinal length among children with short bowel syndrome: Retrospective determination remains problematic.

J Pediatr Surg 2017 Dec 5;52(12):1921-1924. Epub 2017 Sep 5.

Department of Radiology, Boston Children's Hospital, Boston, MA; Harvard Medical School, Boston, MA. Electronic address:

Purpose: Small bowel length is the most reliable predictor of enteral independence in pediatric short bowel syndrome. Retrospectively measured bowel lengths on upper GI with small bowel follow-through (UGI/SBFT) were compared to operative measurements.

Methods: A pediatric radiologist and surgical trainees blinded to operative measurements retrospectively analyzed UGI/SBFT studies using the digital radiography curved measurement tool. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2017.08.055DOI Listing
December 2017
11 Reads

A Rare Case of Intestinal Malrotation and Volvulus of Jejunum with Coexisting Carcinoid Tumour of Appendix.

J Clin Diagn Res 2017 Jun 1;11(6):PD07-PD08. Epub 2017 Jun 1.

Senior Consultant, Department of Gastrosurgery and Minimal Access Surgery, Apollo Mains Hospital, Tamil Nadu, India.

Malrotation of the midgut is generally regarded as a paediatric pathology. It is rare in adults. Patients may present with symptoms of acute bowel obstruction or chronic abdominal pain. Read More

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http://dx.doi.org/10.7860/JCDR/2017/25575.10040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535436PMC
June 2017
21 Reads

[Detection of complete common mesentery on CT scan for perforation in acute appendicitis].

Pan Afr Med J 2017 2;27. Epub 2017 May 2.

Service de Radiologie du CHU, Faculté de Médecine et de Pharmacie, Université Sidi Mohamed Ben Abdellah, Hassan II Fès, Maroc.

Complete common mesentery is a rare abnormality in midgut rotation. Its detection is exceptional during adulthood because, during this period, is very often asymptomatic and therefore not diagnosed. Complete common mesentery may be discovered incidentally in patients with ectopic appendicular syndrome, as in our case study. Read More

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http://dx.doi.org/10.11604/pamj.2017.27.3.11511DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5511726PMC
August 2017
16 Reads

Identifying intestinal malrotation on magnetic resonance examinations ordered for unrelated indications.

Pediatr Radiol 2017 Oct 16;47(11):1477-1482. Epub 2017 Jun 16.

Department of Diagnostic Radiology, Montefiore Medical Center, 111 E. 210th St, Bronx, NY, 10467, USA.

Background: Anatomical imaging findings indicating normal bowel rotation can be identified on cross-sectional imaging, including magnetic resonance imaging (MRI) performed for non-related indications.

Objective: The goal of our study was to assess whether non-targeted MRI can accurately assess intestinal malrotation.

Materials And Methods: Four anatomical landmarks were assessed on MRIs of the chest, spine or abdomen performed from January 2006 to June 2014, on patients who also had upper gastrointestinal series (UGI) performed within 10 years of the MRI date: 1) retroperitoneal duodenum, 2) left upper quadrant duodenojejunal junction, 3) superior mesenteric artery to the left of the superior mesenteric vein, and 4) right lower quadrant cecum. Read More

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http://dx.doi.org/10.1007/s00247-017-3903-0DOI Listing
October 2017
20 Reads

Is color Doppler a reliable method for the diagnosis of malrotation?

J Med Ultrason (2001) 2018 Jan 25;45(1):59-64. Epub 2017 May 25.

Deparment of Pediatric Surgery, Dr. Sami Ulus Childrens Hospital, Babür cad. No. 44, Altındağ, Ankara, Turkey.

Purpose: The gold standard for the diagnosis of malrotation is barium contrast study of the upper gastrointestinal system (UGCS), while color Doppler ultrasonography (CDUS) is another method used in the diagnosis. We investigated the value of CDUS for the diagnosis of malrotation in this study.

Methods: UGCS images, CDUS images, plain abdominal images, demographic data, and symptoms of 82 patients who were investigated for presumed malrotation during a 7-year period were evaluated, retrospectively. Read More

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http://dx.doi.org/10.1007/s10396-017-0794-5DOI Listing
January 2018
45 Reads

Small bowel obstruction due to ingestion of rubber balls.

Pediatr Radiol 2017 Oct 17;47(11):1539-1541. Epub 2017 May 17.

Diagnostic Imaging Department, IWK Health Centre Dalhousie University, Halifax, NS, Canada.

We report a case of a 10-month-old girl who presented with a 10-day history of emesis that became bilious on the last day. The initial evaluation suggested small bowel obstruction. An upper gastrointestinal study confirmed the normal location of the duodenojejunal junction with normal rotation and no evidence of midgut volvulus. Read More

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http://dx.doi.org/10.1007/s00247-017-3894-xDOI Listing
October 2017
53 Reads

Midgut Volvulus after Percutaneous Endoscopic Gastrostomy.

ACG Case Rep J 2017 12;4:e59. Epub 2017 Apr 12.

Gastroenterology Department, Tondela-Viseu Hospital Center, Viseu, Portugal.

We report a 47-year-old man who underwent endoscopic gastrostomy placement due to feeding refusal and regurgitation. Procedure was unremarkable. Two days later, the patient presented signs of intestinal obstruction. Read More

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http://dx.doi.org/10.14309/crj.2017.59DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404344PMC
April 2017
59 Reads

Segmental volvulus in the neonate: A particular clinical entity.

J Pediatr Surg 2017 Mar 13;52(3):454-457. Epub 2016 Oct 13.

AP-HP, Hôpital Necker-Enfants malades, Service de Chirurgie Pédiatrique Viscérale, Paris, France; Université Paris Descartes, Paris, France.

Background: Complete intestinal volvulus is mainly related to congenital anomalies of the so-called intestinal malrotation, whereas segmental volvulus appears as a distinct entity, mostly observed during the perinatal period. Because these two situations are still lumped together, the aim of this study was to describe the particular condition of neonatal segmental volvulus.

Study Design: We analyzed the circumstances of diagnosis and management of 17 consecutives neonates operated for segmental volvulus more than a 10-year period in a single institution. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2016.10.002DOI Listing
March 2017
32 Reads

Role of upper gastrointestinal contrast studies for suspected malrotation in neonatal population.

J Paediatr Child Health 2017 Jul 20;53(7):644-649. Epub 2017 Apr 20.

Department of Diagnostic Imaging, Princess Margaret Hospital for Children, Perth, Western Australia, Australia.

Aim: Upper gastrointestinal (UGI) contrast study is the preferred radiological investigation to diagnose malrotation of intestine. We aimed to review the role of UGI contrast in neonates (term and preterm) who were clinically suspected to have malrotation.

Methods: The study included a retrospective review of medical charts and radiology reports. Read More

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http://dx.doi.org/10.1111/jpc.13515DOI Listing
July 2017
19 Reads

Assessment of developmental and radiological long-term outcomeof children with surgically treated midgut volvulus.

Turk J Med Sci 2017 Apr 18;47(2):633-637. Epub 2017 Apr 18.

Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.

Background/aim: The aim is to evaluate the long-term outcome of asymptomatic patients who underwent surgical correction for midgut volvulus.

Materials And Methods: Seven patients managed surgically for midgut volvulus in the last 3 years were included. Demographic features, symptoms at presentation, diagnoses, surgical procedures, and complications were recorded. Read More

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http://dx.doi.org/10.3906/sag-1512-89DOI Listing
April 2017
12 Reads

Acute appendicitis in a patient with intestinal malrotation.

Rev Gastroenterol Mex 2018 Jul - Sep;83(3):356-358. Epub 2017 Apr 1.

Cirugía general, Hospital Ángeles del Pedregal, Ciudad de México, México.

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http://dx.doi.org/10.1016/j.rgmx.2017.03.001DOI Listing
April 2019
3 Reads

[Mesenteric volvulus associated with mesenteric lipoma: about a case].

Pan Afr Med J 2016 30;25:55. Epub 2016 Sep 30.

Service de Radiologie et Imagerie Médicale, CHU Aristide Le Dantec, BP 3001 Pasteur Dakar, Sénégal.

We report the case of a 7-year old patient presenting for acute paroxysmal abdominal pain at the level of epigastrium associated with vomiting without involving blockage of materials and gas. Clinical examination and laboratory tests were unremarkable. Abdominal ultrasound was requested as a first line investigationa and showed a right echogenic homogeneous flank and iliac fossa mass with regular contours without vascular Doppler signal and associated with "whirl sign" of mesenteric vessels. Read More

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http://dx.doi.org/10.11604/pamj.2016.25.55.10382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5321148PMC
March 2017
23 Reads

Risk factors and outcomes of tapering surgery for small intestinal dilatation in pediatric short bowel syndrome.

J Pediatr Surg 2017 Jul 31;52(7):1121-1127. Epub 2017 Jan 31.

Pediatric Liver and Gut Research Group, Children's Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland; Section of Pediatric Surgery, Children's Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland. Electronic address:

Background: In remains unclear why in some short bowel syndrome (SBS) patients, the remaining small bowel (SB) dilates excessively leading to requirement of tapering surgery.

Methods: Among SBS children, we retrospectively analyzed risk factors for tapering surgery with logistic regression and compared the outcome of operated patients (n=16) to those managed conservatively (n=44) with Cox proportional hazards regression.

Results: SBS was caused by necrotizing enterocolitis (NEC) (n=31), SB atresia (SBA) (n=13), midgut volvulus (n=12), or gastroschisis (n=4). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468173008
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http://dx.doi.org/10.1016/j.jpedsurg.2017.01.052DOI Listing
July 2017
28 Reads

Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion.

Clin Imaging 2017 Mar - Apr;42:228-231. Epub 2017 Jan 16.

Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address:

Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Read More

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http://dx.doi.org/10.1016/j.clinimag.2017.01.002DOI Listing
May 2017
22 Reads

Color Doppler-An effective tool for diagnosing midgut volvulus with malrotation.

Indian J Gastroenterol 2017 Jan 26;36(1):27-31. Epub 2017 Jan 26.

Department of Surgery, All India Institute of Medical Sciences, Phulwari Sharif, Patna, 801 507, India.

Background: Malrotation with midgut volvulus is a common surgical emergency in children. A diagnostic tool for malrotation with characteristics ideal in emergency settings such as non-invasiveness and rapidity remains a keenly debated issue among surgeons and radiologists alike.

Methods: Fifty-two pediatric patients of suspected malrotation with midgut volvulus were studied between 1998 and 2016. Read More

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http://dx.doi.org/10.1007/s12664-017-0729-5DOI Listing
January 2017
44 Reads

Intestinal malrotation and replaced common hepatic artery during duodenopancreatectomy: a case report.

Acta Chir Belg 2017 Oct 29;117(5):315-318. Epub 2016 Dec 29.

b Department of Internal medicine , Centre Hospitalier Régional de la Haute Senne , Soignies , Belgium.

Background: Intestinal malrotation is a well-known anomaly in the normal rotation process of the midgut during embryogenesis. Multiple forms are described, resulting in various positional configurations of the small bowel and colon. Replaced common hepatic artery is a rare but not anecdotic variant of the standard hepatic vascularization, associated with surgical implications. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2016.1
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http://dx.doi.org/10.1080/00015458.2016.1272251DOI Listing
October 2017
9 Reads

Intestinal Rotation Abnormalities and Midgut Volvulus.

Authors:
Jacob C Langer

Surg Clin North Am 2017 Feb;97(1):147-159

Division of General and Thoracic Surgery, Hospital for Sick Children, University of Toronto, Room 1524, 555 University Avenue, Toronto, Ontario M5G1X8, Canada. Electronic address:

Rotation abnormalities may be asymptomatic or may be associated with obstruction caused by bands, midgut volvulus, or associated atresia or web. The most important goal of clinicians is to determine whether the patient has midgut volvulus with intestinal ischemia, in which case an emergency laparotomy should be done. If the patient is not acutely ill, the next goal is to determine whether the patient has a narrow-based small bowel mesentery. Read More

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http://dx.doi.org/10.1016/j.suc.2016.08.011DOI Listing
February 2017
15 Reads