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Intestinal malrotation with midgut volvulus

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Intestinal malrotation with midgut volvulus

History: 4 day-old male with 2 days of bilious vomiting

Findings: CXR- Dilated stomach bubble. Upper GI- Dilated duodenum and stomach with contrast filling. No contrast distal to 2nd portion of duodenum. Ultrasound 1- SMV directly anterior to SMA Ultrasound 2 - Target sign, mesentery and bowel twisted around mesenteric vessels. Post-op Abdominal film- Contrast and air in small bowel on right and large bowel on left.

Ddx: 1) Malrotation +/- Midgut volvulus 2) Duodenal atresia 3) Duodenal web 4) Extrinsic duodenal obstruction 5) Necrotizing enterocolitis

Dxhow: Intraoperative findings

Exam: Mildly jaundiced. Abdomen mildly distended, hypoactive bowel sounds.

No MeSH data available.


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Intestinal malrotation with midgut volvulus

Patterson RAP - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1830&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Intestinal malrotation with midgut volvulus

History: 4 day-old male with 2 days of bilious vomiting

Findings: CXR- Dilated stomach bubble. Upper GI- Dilated duodenum and stomach with contrast filling. No contrast distal to 2nd portion of duodenum. Ultrasound 1- SMV directly anterior to SMA Ultrasound 2 - Target sign, mesentery and bowel twisted around mesenteric vessels. Post-op Abdominal film- Contrast and air in small bowel on right and large bowel on left.

Ddx: 1) Malrotation +/- Midgut volvulus 2) Duodenal atresia 3) Duodenal web 4) Extrinsic duodenal obstruction 5) Necrotizing enterocolitis

Dxhow: Intraoperative findings

Exam: Mildly jaundiced. Abdomen mildly distended, hypoactive bowel sounds.

No MeSH data available.