260 results match your criteria Midgut Volvulus Imaging


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
2 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
4 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
4 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
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http://dx.doi.org/10.12659/AJCR.913039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250999PMC
November 2018
20 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
12 Reads

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
1 Read

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
9 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
10 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
4 Reads

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

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
15 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

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
3 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
13 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
8 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
13 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
7 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
10 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
26 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
26 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
27 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
21 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
6 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
5 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
1 Read

[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
15 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
13 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
5 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
27 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
4 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
10 Reads

Total midgut volvulus in adults with intestinal malrotation. Report of eleven patients.

J Visc Surg 2017 Jun 22;154(3):175-183. Epub 2016 Nov 22.

Service de chirurgie digestive, hôpital Saint-Antoine, AP-HP, université Pierre et Marie Curie, Paris VI, 75012 Paris, France.

Objective: Total small-intestinal volvulus with malrotation (TSIVM) classically presents in the neonatal period; it occurs much less frequently in the adult and is often misdiagnosed. Prognosis is directly related to the degree and duration of intestinal ischemia. Our goal is to describe our experience with TSIVM in the adult, to identify any specific findings and to discuss its management. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18787886163009
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http://dx.doi.org/10.1016/j.jviscsurg.2016.06.010DOI Listing
June 2017
5 Reads

"Serpentine-like syndrome"-A very rare multiple malformation syndrome characterised by brachioesophagus and vertebral anomalies.

Eur J Med Genet 2017 Feb 9;60(2):100-104. Epub 2016 Nov 9.

Centre de Génétique Humaine, Cliniques Universitaires St. Luc, U.C.L., Brussels.

"Serpentine-like syndrome" is a severe and rare association of multiple congenital malformations, characterised by brachioesophagus, secondary intrathoracic stomach, and vertebral anomalies. Other associated anomalies have been described, such as malposition and herniation of abdominal organs. We report the natural history of a baby girl born at 29 weeks of gestation with intra uterine growth restriction, short neck, large rachischisis from cervical to thoracic spine, a very short oesophagus, thoracic stomach associated with a midline diaphragmatic hernia, malrotated gut and median cleft lip. Read More

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http://dx.doi.org/10.1016/j.ejmg.2016.11.002DOI Listing
February 2017
51 Reads

Pancreas rotation anomaly with intestinal malrotation.

Acta Gastroenterol Belg 2016 Jul-Sep;79(3):383-384

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January 2017
5 Reads

Evaluation of a pediatric fluoroscopy training module to improve performance of upper gastrointestinal procedures in neonates with bilious emesis.

Pediatr Radiol 2016 Nov 25;46(12):1680-1683. Epub 2016 Aug 25.

Department of Medical Education, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Background: Life-threatening midgut volvulus usually occurs in infants with malrotation and requires rapid diagnosis and surgical treatment to prevent bowel necrosis and death. However, because of the low frequency of upper gastrointestinal studies performed in infants younger than 1 month, many diagnostic radiology residents finish their residency training having limited or no opportunity to perform or observe an upper gastrointestinal (GI) series for evaluation of bilious emesis in a neonate.

Objective: To determine whether adding simulated upper GI series on neonates with bilious emesis to the curriculum improves residents' skill and accuracy in diagnosing midgut volvulus. Read More

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http://dx.doi.org/10.1007/s00247-016-3674-zDOI Listing
November 2016
14 Reads

Intestinal malrotation in patients with situs anomaly: Implication of the relative positions of the superior mesenteric artery and vein.

Eur J Radiol 2016 Oct 20;85(10):1695-1700. Epub 2016 Jul 20.

Department of Radiology, Seoul National University Hospital, Republic of Korea; Department of Radiology, Seoul National University College of Medicine, Republic of Korea; Institute of Radiation Medicine, Seoul National University Medical Research Center, Republic of Korea.

Purpose: To assess the usefulness of the relative position of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) in diagnosing intestinal malrotation in situs anomaly.

Materials And Methods: From January 2004 to April 2015, 33 patients with situs anomalies were enrolled in this study who underwent abdominal USG, CT or MRI as well as upper gastrointestinal series (UGIS) or surgery: situs inversus (n=16), left isomerism (n=10), and right isomerism (n=7); age 21.2±23. Read More

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http://dx.doi.org/10.1016/j.ejrad.2016.07.013DOI Listing
October 2016
25 Reads

"Milky" bowel and malrotation.

Surgery 2017 08 22;162(2):468-469. Epub 2016 Sep 22.

Department of Pediatric Surgery, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.

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http://dx.doi.org/10.1016/j.surg.2016.08.010DOI Listing
August 2017
9 Reads

A Curious Case of Right Upper Quadrant Abdominal Pain.

West J Emerg Med 2016 Sep 8;17(5):630-3. Epub 2016 Aug 8.

SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York; Kings County Hospital Department of Emergency Medicine, Brooklyn, New York.

An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Read More

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http://dx.doi.org/10.5811/westjem.2016.7.31011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017852PMC
September 2016
8 Reads

Intestinal malrotation and midgut volvulus.

Radiol Case Rep 2016 Sep 22;11(3):271-4. Epub 2016 Jun 22.

Radiology Department, French Medical Institute for Children (FMIC), Kabul, 1006, Afghanistan.

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. Read More

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http://dx.doi.org/10.1016/j.radcr.2016.05.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996931PMC
September 2016
11 Reads

Magnetic Resonance Imaging Diagnosis of Volvulus through Mesenteric Defect in Neonate.

AJP Rep 2016 Apr;6(2):e239-42

Department of Pediatric Surgery, Connecticut Children's Medical Center, Hartford, Connecticut.

Antenatal midgut volvulus is a rare surgical emergency in which bowel is severely compromised. Rarely the etiology is a mesenteric defect. Early diagnosis is essential and lifesaving in the immediate newborn period. Read More

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http://dx.doi.org/10.1055/s-0036-1584548DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983723PMC
April 2016
4 Reads

IMAGES IN CLINICAL MEDICINE. Jejunal Diverticulosis with Midgut Volvulus and Intestinal Malrotation.

N Engl J Med 2016 Jul;375(2):e2

University Hospitals Leuven, Leuven, Belgium

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http://dx.doi.org/10.1056/NEJMicm1511165DOI Listing
July 2016
10 Reads

Intestinal Rotation Anomalies.

Pediatr Ann 2016 Jul;45(7):e247-50

Intestinal rotation abnormality (IRA) predisposes to lethal midgut volvulus. An understanding of intestinal development illustrates the process of normal intestinal rotation and fixation. An appreciation of the clinical presentation and consequences of missed IRA will enhance clinical suspicion and timely evaluation. Read More

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http://dx.doi.org/10.3928/00904481-20160602-01DOI Listing
July 2016
4 Reads

Intestinal malrotation needs immediate consideration and investigation.

Pediatr Int 2016 Nov;58(11):1200-1204

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

Background: The aim of this study was to evaluate clinical presentation, diagnostic studies, and volvulus rate and to describe the unusual clinical clues of intestinal malrotation.

Methods: A retrospective descriptive review was carried out of all patients diagnosed with intestinal malrotation between 2002 and 2014. Patients were divided into two groups: infants (≤1 year, n = 16; group 1); and children (>1 year, n = 12; group 2). Read More

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http://dx.doi.org/10.1111/ped.13075DOI Listing
November 2016
11 Reads

Congenital duodenal obstruction: causes and imaging approach.

Pediatr Radiol 2016 Jul 20;46(8):1084-95. Epub 2016 Jun 20.

Department of Radiology, Duke University Medical Center, DUMC Box 3808, Durham, NC, 27710, USA.

Bilious emesis is a common cause for evaluation in pediatric radiology departments. There are several causes of congenital duodenal obstruction, most of which require elective surgical correction, but the potential of malrotation with midgut volvulus demands prompt imaging evaluation. We review the various causes of congenital duodenal obstruction with an emphasis on the approach to imaging evaluation and diagnosis. Read More

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http://dx.doi.org/10.1007/s00247-016-3603-1DOI Listing
July 2016
7 Reads

Appendiceal mucocoele with midgut malrotation.

Ann R Coll Surg Engl 2016 Sep 8;98(7):e138-40. Epub 2016 Jun 8.

Royal Gwent Hospital , Newport , UK.

Introduction Malrotation of the midgut and appendiceal mucocoele are both extremely rare pathological conditions in adults. To our knowledge, there are only two reported cases in the English literature with a combination of both conditions. Case History A 65-year-old man presented with a 10-day history of upper abdominal pain associated with abdominal bloating and weight loss. Read More

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http://dx.doi.org/10.1308/rcsann.2016.0184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5210008PMC
September 2016
3 Reads

Congenital diaphragmatic hernia, Meckel's diverticulum and malrotation in a 3-month-old infant.

Afr J Paediatr Surg 2016 Jan-Mar;13(1):47-9

Department of Pediatric Surgery, Dolphin Children's Hospital, Hyderabad, Telangana, India.

Congenital diaphragmatic hernia (CDH) is a common developmental anomaly that usually presents in the neonatal period. It is known to be associated with cardiac, renal, genital and chromosomal anomalies. Late presentation of CDH (beyond 1-month of age) is seen in 13% of the cases. Read More

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http://dx.doi.org/10.4103/0189-6725.181708DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4955462PMC
July 2017
20 Reads

The "abdominal whirlpool" sign.

Abdom Radiol (NY) 2016 Jul;41(7):1437-8

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90, Yishun Central, Singapore, 768828, Singapore.

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http://dx.doi.org/10.1007/s00261-016-0688-9DOI Listing
July 2016
21 Reads

Comparative Effectiveness of Imaging Modalities for the Diagnosis of Intestinal Obstruction in Neonates and Infants:: A Critically Appraised Topic.

Acad Radiol 2016 May 5;23(5):559-68. Epub 2016 Feb 5.

Department of Radiology, St. Vincent's University Hospital, Elm Park, Merrion Rd, Dublin 4, Ireland.

Rationale And Objectives: The purpose of this study was to critically appraise and compare the diagnostic performance of imaging modalities that are used for the diagnosis of upper and lower gastrointestinal (GI) tract obstruction in neonates and infants.

Methods: A focused clinical question was constructed and the literature was searched using the patient, intervention, comparison, outcome method comparing radiography, upper GI contrast study, and ultrasound in the detection of upper GI tract obstruction such as duodenal atresia and stenosis, jejunal and ileal atresia, and malrotation and volvulus. The same methods were used to compare radiography and contrast enema in the detection of lower GI tract obstruction such as meconium plug syndrome, meconium ileus, Hirschsprung disease, and imperforate anus. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10766332160001
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http://dx.doi.org/10.1016/j.acra.2015.12.014DOI Listing
May 2016
83 Reads

Intestinal volvulus related to malrotation in adults.

Int J Colorectal Dis 2016 Jul 6;31(7):1373-4. Epub 2016 Jan 6.

Department of Digestive Surgery, Hôpital Saint-Antoine, AP-HP, Université Pierre et Marie Curie, Paris VI, France.

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http://dx.doi.org/10.1007/s00384-015-2484-3DOI Listing
July 2016
5 Reads