334 results match your criteria Midgut Volvulus Imaging


An unusual cause of recurrent abdominal pain: wandering liver and intestinal malrotation.

Br J Hosp Med (Lond) 2022 04 29;83(4). Epub 2022 Apr 29.

Department of Radiology, University of Pamukkale, Denizli, Turkey.

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A Rare Case of Malrotation and Midgut Volvulus with Whirlpool Sign.

Authors:
Lung-Huang Lin

J Med Ultrasound 2022 Jan-Mar;30(1):62-64. Epub 2021 Jun 16.

Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan.

We report a rare case of midgut malrotation and volvulus with "whirlpool sign" in a new-born infant. The "whirlpool sign" is an imaging characteristic of midgut volvulus and has a high predicting value for volvulus. Malrotation or malrotation with volvulus can be effectively diagnosed based on these characteristics. Read More

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Prenatal diagnosis of midgut volvulus using two-dimensional and three-dimensional ultrasound.

Am J Transl Res 2022 15;14(3):1859-1867. Epub 2022 Mar 15.

Department of Ultrasound, The First Affiliated Hospital of Anhui Medical University Hefei 230022, Anhui Province, China.

Objective: Fetal midgut volvulus is rare and fatal, which can be easily missed on prenatal two-dimensional (2D) ultrasonography. The purpose of this study was to review our experience in prenatal diagnosis of midgut volvulus using 2D and three-dimensional (3D) ultrasound, so as to assess the diagnostic value of the two ultrasonic methods in fetal midgut volvulus.

Methods: The retrospective study was conducted on 355 fetuses with intestinal dilatation diagnosed with 2D ultrasonography in the First Affiliated Hospital of Anhui Medical University from January 2017 to December 2019. Read More

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A digital audit of emergency upper gastrointestinal fluoroscopy workflow in children with bilious vomiting.

SA J Radiol 2022 30;26(1):2300. Epub 2022 Mar 30.

Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Background: Bilious vomiting in children requires an urgent evaluation with upper gastrointestinal (UGI) fluoroscopy as it may herald life-threatening midgut malrotation with volvulus (MMWV). There are no published data available on the duration of time-critical UGI workflow steps.

Objectives: A digital audit of workflow in emergency UGI contrast studies performed on children with bile-stained vomiting at a large South African teaching hospital. Read More

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Pancreaticobiliary maljunction and pancreas divisum accompanied with intestinal malrotation: a case report.

BMC Pediatr 2022 02 28;22(1):110. Epub 2022 Feb 28.

Department of General Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, No. 56 Nalishi Road, Xicheng District, CN, 100045, Beijing, China.

Background: Pancreaticobiliary maljunction is a congenital anatomical abnorma l junction of the pancreatic duct and bile duct into a common channel outside the duodenal wall. Pancreas divisum is also a congenital anatomical abnormality characterized by unfused pancreatic ducts. Intestinal malrotation is caused by the failure of bowel rotation and fixation. Read More

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February 2022

Malrotation With Midgut Volvulus in an Adolescent Male.

Pediatr Emerg Care 2022 Mar;38(3):e1082-e1084

Division of Pediatric Emergency Medicine, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA.

Abstract: Malrotation and midgut volvulus are conditions commonly described in infants, typically diagnosed within the first month of life. We present an unusual occurrence of high-grade obstruction because of malrotation and volvulus in an adolescent male. His symptoms at presentation, abdominal pain and vomiting, were similar to previous episodes in which he had been diagnosed with constipation or viral gastroenteritis and discharged home. Read More

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Reply to Letter to the Editor in regard to: Ultrasound imaging as the first line of investigation to diagnose intestinal malrotation in children: Safety and efficacy.

J Pediatr Surg 2022 06 31;57(6):1179. Epub 2022 Jan 31.

Department of Paediatric Surgery, Women's and Children's Hospital, 72 King William Road, North Adelaide 5006, Australia.

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Letter to Editor in regard to: Ultrasound imaging as the first line of investigation to diagnose intestinal malrotation in children: Safety and efficacy.

J Pediatr Surg 2022 06 22;57(6):1178. Epub 2022 Jan 22.

Junior Resident, Department of Paediatric Surgery, All India Institute of Medical Sciences; Professor and Head, Department of Paediatric Surgery, All India Institute of Medical Sciences, Patna, Bihar, India; Associate Professor, Department of Paediatric Surgery, All India Institute of Medical Sciences, Patna, Bihar, India; Senior Resident, Department of Paediatric Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.

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Left paraduodenal hernia with intestinal volvulus mimicking midgut volvulus.

Pediatr Int 2022 Jan;64(1):e14964

Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.

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January 2022

Ultrasound for Midgut Malrotation and Midgut Volvulus: Expert Panel Narrative Review.

AJR Am J Roentgenol 2022 Jun 2;218(6):931-939. Epub 2022 Feb 2.

Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT.

Midgut volvulus in association with malrotation is a pediatric surgical emergency. Prompt and accurate diagnosis is necessary to avoid bowel ischemia and necrosis, thereby reducing morbidity and mortality. Historically, the fluoroscopic upper gastrointestinal series has been the preferred imaging modality for the evaluation of both midgut malrotation and volvulus, although the use of ultrasound (US) is increasing. Read More

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A rare case of an iatrogenic superior mesenteric arteriovenous fistula following surgery for a midgut volvulus.

Ann R Coll Surg Engl 2022 Feb;104(2):37-40

Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Superior mesenteric arteriovenous fistula is an extremely rare vascular malformation with most cases occurring following abdominal trauma or surgery. They are often asymptomatic or present with various abdominal symptoms with or without features of portal hypertension. A 30-year-old man developed fistulising of the superior mesenteric artery into the superior mesenteric vein following bowel resection surgery for an acquired midgut volvulus. Read More

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February 2022

Variations of intestinal malrotation in adults: A case report of midgut volvulus and literature review for the surgeon.

Int J Surg Case Rep 2022 Feb 4;91:106750. Epub 2022 Jan 4.

Department of Surgery, University of Toronto,149 College St, Toronto M5T 1P5, ON, Canada; Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto M4N3M5, ON, Canada. Electronic address:

Introduction: Intestinal malrotation is a rare congenital abnormality occurring in 0.2-1% of the population. Adult presentations comprise only 0. Read More

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February 2022

Midgut volvulus in adult age associated with congenital malrotation - case report.

Rozhl Chir 2021 ;100(11):559-562

Introduction: Malrotation is understood as a congenital anomaly of the intestinal position formed during embryonic development. Disorders of intestinal rotation and its manifestations in adulthood are less common; the symptoms of these disorders are characteristic of childhood. An asymptomatic bowel rotation disorder occurs in up to 1 of 200 newborns and symptomatic malrotation occurs in 1 of 6,000 live newborns. Read More

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January 2022

Target sign of intussusception versus whirlpool sign of midgut volvulus.

Radiol Case Rep 2022 Mar 23;17(3):670-675. Epub 2021 Dec 23.

Department of Radiology, Tripler Army Medical Center, Medical Center, Hawaii, USA.

We report the case of a 2-month-old boy who presented with emesis and was initially thought to have an intussusception based on ultrasound findings, but was later found to have malrotation with midgut volvulus. He was surgically detorsed before any bowel necrosis occurred, but later developed recurrent volvulus due to a surgical adhesion acting as an anchor point. The aim of this report is to highlight the imaging similarities and differences between intussusception and the more serious midgut volvulus in order to expedite proper care and preserve bowel. Read More

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A distinctive case of congenital midgut malrotation with volvulus in an adolescent female managed by Ladd's procedure - A case report.

Int J Surg Case Rep 2022 Jan 5;90:106752. Epub 2022 Jan 5.

Department of Surgery, Al-Mouwasat University Hospital, Syria. Electronic address:

Introduction And Importance: Midgut Malrotation (MM) is a potentially fatal and rare congenital anomaly that results from an incomplete rotation of the bowel 270 degrees around the Superior Mesenteric Axis. Newborns are the most affected age group, nevertheless, adult malrotation can manifest, but in a much rarer incidence rate. Clinical awareness must be present when faced with a surgical abdomen in an adolescent patient because this pathology can have several misleading signs and symptoms which may eclipse the true preoperative diagnosis and masquerade as another, and this could result in implementing a different therapeutic approach. Read More

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January 2022

A safe and effective laparoscopic Ladd's procedure technique involving the confirmation of mesenteric vascular perfusion by fluorescence imaging using indocyanine green: A case report of an infant.

Asian J Endosc Surg 2022 Apr 5;15(2):410-414. Epub 2022 Jan 5.

Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.

We herein report a 20-month-old boy who underwent laparoscopic Ladd's surgery. He showed intermittent bilious vomiting after birth and received a definitive diagnosis of intestinal malrotation. Laparoscopic Ladd's procedure was performed with four trocars. Read More

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The diagnostic accuracy of ultrasound and upper gastrointestinal contrast studies for locating atresia/stenosis and intestinal malrotation and detecting annular pancreas in pediatric patients with duodenal atresia/stenosis.

J Med Ultrason (2001) 2022 Apr 6;49(2):299-309. Epub 2022 Jan 6.

Department of Radiology, Saitama Children's Medical Center, 1-2 Shintoshin, Chuo-ku, Saitama, 330-8777, Japan.

Purpose: This study aimed to evaluate the diagnostic performance of ultrasound to locate atresia/stenosis and other abdominal anomalies in pediatric patients with duodenal atresia/stenosis, including intestinal malrotation and annular pancreas.

Methods: We classified 36 retrospective cases of duodenal atresia/stenosis based on intestinal malrotation status, and evaluated the diagnostic performance of ultrasound/upper gastrointestinal contrast studies to locate atresia/stenosis and intestinal malrotation, as well as ultrasound for detecting additional anomalies such as annular pancreas. The incidence of annular pancreas was compared between groups using Fisher's exact test. Read More

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Gastrointestinal Emergency in Neonates and Infants: A Pictorial Essay.

Korean J Radiol 2022 01;23(1):124-138

Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Gastrointestinal (GI) emergencies in neonates and infants encompass from the beginning to the end of the GI tract. Both congenital and acquired conditions can cause various GI emergencies in neonates and infants. Given the overlapping or nonspecific clinical findings of many different neonatal and infantile GI emergencies and the unique characteristics of this age group, appropriate imaging is key to accurate and timely diagnosis while avoiding unnecessary radiation hazard and medical costs. Read More

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January 2022

[Internal herniationand ileus caused by intestinal malrotation and Ladd's band in an adult].

Ugeskr Laeger 2021 12;183(51)

Midgut malrotation and internal herniation due to Ladd's band in adults is sparsely described. Due to the low incidence and the uncharacteristic symptoms, the diagnosis and treatment is often delayed causing increased morbidity. In this case report, a 68-year-old man was hospitalised with severe abdominal pain. Read More

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December 2021

Chylolymphatic mesenteric cyst with midgut volvulus in an adolescent: a peculiar presentation.

Radiol Case Rep 2022 Feb 5;17(2):420-422. Epub 2021 Dec 5.

Division of Pediatric Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905 USA.

Mesenteric cysts are rare intra-abdominal masses in the pediatric population, with the chylolymphatic variant comprising only 7.3% of all abdominal cysts. These cysts can have a varied clinical presentation, ranging from asymptomatic cystic masses to intestinal obstruction. Read More

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February 2022

Whirlpool No More: A Case of Misdiagnosed Malrotation with Midgut Volvulus.

Clin Pract Cases Emerg Med 2021 Nov;5(4):463-465

Mount Sinai St. Luke's and Mount Sinai West, Department of Emergency Medicine, New York, New York.

Introduction: Adult intestinal malrotation with midgut volvulus is rare and most often diagnosed on abdominal imaging. Once the diagnosis is made, prompt surgical intervention is necessary. A finding suggestive of malrotation with midgut volvulus on abdominal imaging is the "whirlpool" sign where the superior mesenteric vein and superior mesenteric artery twist at the root of the abdominal mesentery. Read More

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November 2021

A rare case of an iatrogenic superior mesenteric arteriovenous fistula following surgery for a midgut volvulus.

Ann R Coll Surg Engl 2022 Feb 22;104(2):e37-e40. Epub 2021 Nov 22.

Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Superior mesenteric arteriovenous fistula is an extremely rare vascular malformation with most cases occurring following abdominal trauma or surgery. They are often asymptomatic or present with various abdominal symptoms with or without features of portal hypertension. A 30-year-old man developed fistulising of the superior mesenteric artery into the superior mesenteric vein following bowel resection surgery for an acquired midgut volvulus. Read More

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February 2022

A rare case of reverse midgut rotation and jejunal transmesenteric internal hernia in an adult with Beckwith-Wiedemann syndrome.

Ann Ital Chir 2021 ;92:560-564

Intestinal malrotation is a rare congenital condition with an incidence in adulthood between 0,0001% and 0,19%, affecting nearly 1:500 live births. It results from an abnormal rotation of the bowel within the peritoneal cavity during embryogenesis. Generally it involves both small and large bowel, leading to an increased risk of intestinal obstruction. Read More

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November 2021

Ultrasound for malrotation and volvulus - point.

Pediatr Radiol 2022 Apr 11;52(4):716-722. Epub 2021 Oct 11.

Department of Radiology, Phoenix Children's Hospital, 1919 E. Thomas Road, Phoenix, AZ, 85016, USA.

Upper gastrointestinal series is considered the gold standard imaging test to evaluate for malrotation and midgut volvulus. US has been explored for this purpose in recent years and has been shown to be a good alternative because of its relatively good accuracy, fast learning curve for sonographers and radiologists, as well as convenience for children, clinical staff and radiologists in the neonatal intensive care unit. In this article we describe our experience and review the evidence supporting the use of emergency US primarily to diagnose midgut volvulus as well as its use as a problem-solving tool for the diagnosis of malrotation. Read More

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Intestinal Failure in a Neonate: A Surgical Emergency and Medical Catastrophe.

Cureus 2021 Aug 4;13(8):e16890. Epub 2021 Aug 4.

Pediatric Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

In this case report, we present a female neonate referred to us, born to a primigravida mother at 39 weeks, who cried after birth, did not require any resuscitation, had a birth weight of 2.9 kg and developed abdominal distension and bilious vomiting on Day 1 of life. Ultrasound abdomen and X-ray imaging were suggestive of midgut volvulus with malrotation. Read More

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Sonographic diagnosis of malrotation: it's complicated - counterpoint.

Authors:
George A Taylor

Pediatr Radiol 2022 Apr 13;52(4):723-725. Epub 2021 Aug 13.

Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.

Focused abdominal sonography (US) has been suggested as a first-line modality for the diagnosis of malrotation and volvulus in newborns. In this paper, the author reviews the strengths and weaknesses of US in the diagnosis and exclusion of malrotation and volvulus. The author reviews published implementation programs for using US in both conditions and describes the anatomical variations that limit the utility of US depiction of a retromesenteric duodenum in the exclusion of malrotation. Read More

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The radiological diagnosis of midgut volvulus - wow, it's difficult!

Pediatr Radiol 2021 09 16;51(10):1936-1937. Epub 2021 Jun 16.

Radiology Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK.

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September 2021

Left sided appendicitis - a surgical dilemma: Case report.

J Pak Med Assoc 2021 May;71(5):1483-1485

Department of East Surgical Ward, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.

Left-sided abdominal pain is an uncommon presentation of acute appendicitis. When a patient presents with this complaint, appendicitis can be difficult to diagnose, thus resulting in delayed definitive therapy and increased morbidity and mortality. In this report we discuss the case of a middle-aged man, who presented with left-sided abdominal pain, and was diagnosed to be suffering from acute appendicitis along with asymptomatic midgut malrotation. Read More

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Ultrasound imaging as the first line of investigation to diagnose intestinal malrotation in children: Safety and efficacy.

J Pediatr Surg 2021 Dec 20;56(12):2224-2228. Epub 2021 Apr 20.

Department of Paediatric Surgery, Women's and Children's Hospital, South Australia, Australia; Discipline of Paediatrics, University of Adelaide, South Australia, Australia.

Background: Upper gastrointestinal contrast study is considered the gold standard investigation to diagnose intestinal malrotation and midgut volvulus which is potentially devastating condition. Ultrasound imaging is an alternative but has been considered unreliable due to significant false negative results. At our institution we have been using ultrasound imaging as the first line investigation to diagnose malrotation since 2008 with a preliminary study of 139 patients published in 2014. Read More

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December 2021

Intrauterine midgut volvulus as a rare cause of intestinal obstruction: a case report.

J Med Case Rep 2021 May 4;15(1):239. Epub 2021 May 4.

Department of Pediatric, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.

Background: Intrauterine midgut volvulus is a very rare, life-threatening condition, and prenatal diagnosis is difficult. In this article, we present a case of midgut volvulus followed by a pre-diagnosis of antenatal jejunal atresia.

Case Presentation: A 1-day-old Turkish male baby, who was followed with a diagnosis of antenatal jejunal atresia, with a birth weight of 3600 g, delivered by cesarean section at 38 weeks of gestation from a 19-year-old mother in her fourth pregnancy, was taken to the newborn intensive care unit. Read More

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