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Malrotation
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • 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. Gosangi B et al: Imaging spectrum of duodenal emergencies. Radiographics. 40(5):1441-57, 2020
                                      2. Juanpere S et al: Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT. Insights Imaging. 9(2):121-35, 2018
                                      3. Zaheer A et al. Pancreatic imaging: a pattern-based approach to radiologic diagnosis with pathologic correlation. Cham: Springer, 2017
                                      4. Zimmerman Stefan et al: Pearls and pitfalls in cardiovascular imaging: variants and other difficult diagnoses. Cambridge University Press, 2015
                                      5. 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
                                      6. Shalaby MS et al: Intestinal malrotation and volvulus in infants and children. BMJ. 347:f6949, 2013
                                      7. Gilbertson-Dahdal DL et al: Neonatal malrotation with midgut volvulus mimicking duodenal atresia. AJR Am J Roentgenol. 192(5):1269-71, 2009
                                      8. 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
                                      9. 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
                                      10. Boudiaf M et al: Ct evaluation of small bowel obstruction. Radiographics. 21(3):613-24, 2001
                                      11. Berrocal T et al: Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 19(5):1219-36, 1999
                                      12. Long FR et al: Intestinal malrotation in children: tutorial on radiographic diagnosis in difficult cases. Radiology. 198(3):775-80, 1996
                                      13. 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

                                            • Pathology

                                              • 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. Gosangi B et al: Imaging spectrum of duodenal emergencies. Radiographics. 40(5):1441-57, 2020
                                                                          2. Juanpere S et al: Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT. Insights Imaging. 9(2):121-35, 2018
                                                                          3. Zaheer A et al. Pancreatic imaging: a pattern-based approach to radiologic diagnosis with pathologic correlation. Cham: Springer, 2017
                                                                          4. Zimmerman Stefan et al: Pearls and pitfalls in cardiovascular imaging: variants and other difficult diagnoses. Cambridge University Press, 2015
                                                                          5. 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
                                                                          6. Shalaby MS et al: Intestinal malrotation and volvulus in infants and children. BMJ. 347:f6949, 2013
                                                                          7. Gilbertson-Dahdal DL et al: Neonatal malrotation with midgut volvulus mimicking duodenal atresia. AJR Am J Roentgenol. 192(5):1269-71, 2009
                                                                          8. 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
                                                                          9. 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
                                                                          10. Boudiaf M et al: Ct evaluation of small bowel obstruction. Radiographics. 21(3):613-24, 2001
                                                                          11. Berrocal T et al: Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 19(5):1219-36, 1999
                                                                          12. Long FR et al: Intestinal malrotation in children: tutorial on radiographic diagnosis in difficult cases. Radiology. 198(3):775-80, 1996
                                                                          13. Long FR et al: Radiographic patterns of intestinal malrotation in children. Radiographics. 16(3):547-56; discussion 556-60, 1996