link
Bookmarks
Midgut Volvulus
Steven J. Kraus, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
17
0
7

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Malrotation: Abnormal rotation & fixation of small bowel (SB) mesentery that can lead to complications
                  • Bowel obstruction by Ladd (peritoneal) bands
                  • Midgut volvulus (MV) due to short mesenteric base prone to twisting
                • MV: Abnormal twisting of SB about superior mesenteric artery (SMA) that can lead to bowel obstruction & bowel ischemia/necrosis
                • Ligament of Treitz: Suspends duodenojejunal junction (DJJ), defines normal duodenal rotation
                • Ladd band: Abnormal fibrous peritoneal bands that can cause duodenal obstruction
                • Bilious vomiting: Green/yellow vomit typically from obstruction of duodenum distal to ampulla of Vater

              IMAGING

              • General Features

                • Radiographic Findings

                  • Fluoroscopic Findings

                    • Ultrasonographic Findings

                      • CT Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Carroll AG et al: Comparative effectiveness of imaging modalities for the diagnosis of intestinal obstruction in neonates and infants: a critically appraised topic. Acad Radiol. 23(5):559-68, 2016
                                            2. Drewett M et al: The burden of excluding malrotation in term neonates with bile stained vomiting. Pediatr Surg Int. 32(5):483-6, 2016
                                            3. Dumitriu DI et al: Ultrasound of the duodenum in children. Pediatr Radiol. 46(9):1324-31, 2016
                                            4. Horsch S et al: Volvulus in term and preterm infants - clinical presentation and outcome. Acta Paediatr. 105(6):623-7, 2016
                                            5. Shrimal PK et al: Midgut volvulus with whirlpool sign. Clin Gastroenterol Hepatol. 14(2):e13, 2016
                                            6. Abdelhafeez AH et al: The risk of volvulus in abdominal wall defects. J Pediatr Surg. 50(4):570-2, 2015
                                            7. Coe TM et al: Small bowel volvulus in the adult populace of the United States: results from a population-based study. Am J Surg. 210(2):201-210.e2, 2015
                                            8. Kargl S et al: Volvulus without malposition--a single-center experience. J Surg Res. 193(1):295-9, 2015
                                            9. Koong JK et al: Midgut volvulus: a rare cause of intestinal obstruction in adults. ANZ J Surg. ePub, 2015
                                            10. Mitsunaga T et al: Risk factors for intestinal obstruction after Ladd procedure. Pediatr Rep. 7(2):5795, 2015
                                            11. Nakagawa T et al: A case of fetal intestinal volvulus without malrotation causing severe anemia. Jpn Clin Med. 6:1-3, 2015
                                            12. Shah MR et al: Volvulus of the entire small bowel w1th normal bowel fixation simulating malrotation and midgut volvulus. Pediatr Radiol. 45(13):1953-6, 2015
                                            13. Marine MB et al: Imaging of malrotation in the neonate. Semin Ultrasound CT MR. 35(6):555-70, 2014
                                            14. Nehra D et al: Intestinal malrotation: varied clinical presentation from infancy through adulthood. Surgery. 149(3):386-93, 2011
                                            15. Taylor GA: CT appearance of the duodenum and mesenteric vessels in children with normal and abnormal bowel rotation. Pediatr Radiol. Epub ahead of print, 2011
                                            16. 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
                                            17. Yousefzadeh DK: The position of the duodenojejunal junction: the wrong horse to bet on in diagnosing or excluding malrotation. Pediatr Radiol. 39 Suppl 2:S172-7, 2009
                                            18. Patino MO et al: Utility of the sonographic whirlpool sign in diagnosing midgut volvulus in patients with atypical clinical presentations. J Ultrasound Med. 23(3):397-401, 2004
                                            19. Strouse PJ: Disorders of intestinal rotation and fixation ("malrotation"). Pediatr Radiol. 34(11):837-51, 2004
                                            20. Chao HC et al: Sonographic features related to volvulus in neonatal intestinal malrotation. J Ultrasound Med. 19(6):371-6, 2000
                                            21. Long FR et al: Radiographic patterns of intestinal malrotation in children. Radiographics. 16(3):547-56; discussion 556-60, 1996
                                            Related Anatomy
                                            Loading...
                                            Related Differential Diagnoses
                                            Loading...
                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Malrotation: Abnormal rotation & fixation of small bowel (SB) mesentery that can lead to complications
                                                            • Bowel obstruction by Ladd (peritoneal) bands
                                                            • Midgut volvulus (MV) due to short mesenteric base prone to twisting
                                                          • MV: Abnormal twisting of SB about superior mesenteric artery (SMA) that can lead to bowel obstruction & bowel ischemia/necrosis
                                                          • Ligament of Treitz: Suspends duodenojejunal junction (DJJ), defines normal duodenal rotation
                                                          • Ladd band: Abnormal fibrous peritoneal bands that can cause duodenal obstruction
                                                          • Bilious vomiting: Green/yellow vomit typically from obstruction of duodenum distal to ampulla of Vater

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • Fluoroscopic Findings

                                                              • Ultrasonographic Findings

                                                                • CT Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Carroll AG et al: Comparative effectiveness of imaging modalities for the diagnosis of intestinal obstruction in neonates and infants: a critically appraised topic. Acad Radiol. 23(5):559-68, 2016
                                                                                      2. Drewett M et al: The burden of excluding malrotation in term neonates with bile stained vomiting. Pediatr Surg Int. 32(5):483-6, 2016
                                                                                      3. Dumitriu DI et al: Ultrasound of the duodenum in children. Pediatr Radiol. 46(9):1324-31, 2016
                                                                                      4. Horsch S et al: Volvulus in term and preterm infants - clinical presentation and outcome. Acta Paediatr. 105(6):623-7, 2016
                                                                                      5. Shrimal PK et al: Midgut volvulus with whirlpool sign. Clin Gastroenterol Hepatol. 14(2):e13, 2016
                                                                                      6. Abdelhafeez AH et al: The risk of volvulus in abdominal wall defects. J Pediatr Surg. 50(4):570-2, 2015
                                                                                      7. Coe TM et al: Small bowel volvulus in the adult populace of the United States: results from a population-based study. Am J Surg. 210(2):201-210.e2, 2015
                                                                                      8. Kargl S et al: Volvulus without malposition--a single-center experience. J Surg Res. 193(1):295-9, 2015
                                                                                      9. Koong JK et al: Midgut volvulus: a rare cause of intestinal obstruction in adults. ANZ J Surg. ePub, 2015
                                                                                      10. Mitsunaga T et al: Risk factors for intestinal obstruction after Ladd procedure. Pediatr Rep. 7(2):5795, 2015
                                                                                      11. Nakagawa T et al: A case of fetal intestinal volvulus without malrotation causing severe anemia. Jpn Clin Med. 6:1-3, 2015
                                                                                      12. Shah MR et al: Volvulus of the entire small bowel w1th normal bowel fixation simulating malrotation and midgut volvulus. Pediatr Radiol. 45(13):1953-6, 2015
                                                                                      13. Marine MB et al: Imaging of malrotation in the neonate. Semin Ultrasound CT MR. 35(6):555-70, 2014
                                                                                      14. Nehra D et al: Intestinal malrotation: varied clinical presentation from infancy through adulthood. Surgery. 149(3):386-93, 2011
                                                                                      15. Taylor GA: CT appearance of the duodenum and mesenteric vessels in children with normal and abnormal bowel rotation. Pediatr Radiol. Epub ahead of print, 2011
                                                                                      16. 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
                                                                                      17. Yousefzadeh DK: The position of the duodenojejunal junction: the wrong horse to bet on in diagnosing or excluding malrotation. Pediatr Radiol. 39 Suppl 2:S172-7, 2009
                                                                                      18. Patino MO et al: Utility of the sonographic whirlpool sign in diagnosing midgut volvulus in patients with atypical clinical presentations. J Ultrasound Med. 23(3):397-401, 2004
                                                                                      19. Strouse PJ: Disorders of intestinal rotation and fixation ("malrotation"). Pediatr Radiol. 34(11):837-51, 2004
                                                                                      20. Chao HC et al: Sonographic features related to volvulus in neonatal intestinal malrotation. J Ultrasound Med. 19(6):371-6, 2000
                                                                                      21. Long FR et al: Radiographic patterns of intestinal malrotation in children. Radiographics. 16(3):547-56; discussion 556-60, 1996