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Malrotation
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Rotational abnormality of gut due to arrest of gut rotation and fixation during fetal development

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Pathak N et al: Should gut malrotation be suspected in adolescents and young adults presenting with failure to thrive? Trop Gastroenterol. 34(3):184-5, 2013
                                    2. Shalaby MS et al: Intestinal malrotation and volvulus in infants and children. BMJ. 347:f6949, 2013
                                    3. Gilbertson-Dahdal DL et al: Neonatal malrotation with midgut volvulus mimicking duodenal atresia. AJR Am J Roentgenol. 192(5):1269-71, 2009
                                    4. Lampl B et al: Malrotation and midgut volvulus: a historical review and current controversies in diagnosis and management. Pediatr Radiol. 39(4):359-66, 2009
                                    5. Singal AK et al: Preduodenal portal vein in association with midgut malrotation and duodenal web-triple anomaly? J Pediatr Surg. 44(2):e5-7, 2009
                                    6. Boudiaf M et al: Ct evaluation of small bowel obstruction. Radiographics. 21(3):613-24, 2001
                                    7. Berrocal T et al: Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 19(5):1219-36, 1999
                                    8. Long FR et al: Intestinal malrotation in children: tutorial on radiographic diagnosis in difficult cases. Radiology. 198(3):775-80, 1996
                                    9. Long FR et al: Radiographic patterns of intestinal malrotation in children. Radiographics. 16(3):547-56; discussion 556-60, 1996
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Definitions

                                              • Rotational abnormality of gut due to arrest of gut rotation and fixation during fetal development

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • Ultrasonographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Pathak N et al: Should gut malrotation be suspected in adolescents and young adults presenting with failure to thrive? Trop Gastroenterol. 34(3):184-5, 2013
                                                                      2. Shalaby MS et al: Intestinal malrotation and volvulus in infants and children. BMJ. 347:f6949, 2013
                                                                      3. Gilbertson-Dahdal DL et al: Neonatal malrotation with midgut volvulus mimicking duodenal atresia. AJR Am J Roentgenol. 192(5):1269-71, 2009
                                                                      4. Lampl B et al: Malrotation and midgut volvulus: a historical review and current controversies in diagnosis and management. Pediatr Radiol. 39(4):359-66, 2009
                                                                      5. Singal AK et al: Preduodenal portal vein in association with midgut malrotation and duodenal web-triple anomaly? J Pediatr Surg. 44(2):e5-7, 2009
                                                                      6. Boudiaf M et al: Ct evaluation of small bowel obstruction. Radiographics. 21(3):613-24, 2001
                                                                      7. Berrocal T et al: Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 19(5):1219-36, 1999
                                                                      8. Long FR et al: Intestinal malrotation in children: tutorial on radiographic diagnosis in difficult cases. Radiology. 198(3):775-80, 1996
                                                                      9. Long FR et al: Radiographic patterns of intestinal malrotation in children. Radiographics. 16(3):547-56; discussion 556-60, 1996