eMedicine Specialties > Radiology > Pediatrics

Midgut Volvulus: Follow-up

Author: Janet R Reid, MD, FRCP(C), Associate Professor of Radiology, Section Head of Pediatric Radiology, Children's Hospital of Cleveland Clinic
Contributor Information and Disclosures

Updated: Jul 27, 2007

Intervention

Medicolegal Pitfalls

  • A false-negative diagnosis of malrotation with midgut volvulus can lead to delays in the diagnosis and, possibly, death or severe morbidity.  
  • A false-positive diagnosis can lead to an unnecessary laparotomy and a delay in obtaining the correct diagnosis.  
  • The highest sensitivities and specificities with upper GI series are in pediatric centers where operators with experience and pediatric expertise perform the examinations. If the upper GI results are in question, the examination should be repeated through a nasogastric feeding tube or the study should be continued to determine the position of the cecum.
 


More on Midgut Volvulus

Overview: Midgut Volvulus
Imaging: Midgut Volvulus
Follow-up: Midgut Volvulus
Multimedia: Midgut Volvulus
References
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References

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  2. Applegate KE, Anderson JM, Klatte EC. Intestinal malrotation in children: a problem-solving approach to the upper gastrointestinal series. Radiographics. Sep-Oct 2006;26(5):1485-500. [Medline].

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  15. Shimanuki Y, Aihara T, Takano H. Clockwise whirlpool sign at color Doppler US: an objective and definite sign of midgut volvulus. Radiology. Apr 1996;199(1):261-4. [Medline].

  16. Simpson AJ, Leonidas JC, Krasna IH. Roentgen diagnosis of midgut malrotation: value of upper gastrointestinal radiographic study. J Pediatr Surg. Apr 1972;7(2):243-52. [Medline].

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Further Reading

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Keywords

malrotation with midgut volvulus, nonrotation, reverse rotation, malrotation

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Contributor Information and Disclosures

Author

Janet R Reid, MD, FRCP(C), Associate Professor of Radiology, Section Head of Pediatric Radiology, Children's Hospital of Cleveland Clinic
Janet R Reid, MD, FRCP(C) is a member of the following medical societies: American Association for Women Radiologists, American Society of Neuroradiology, Ohio State Medical Association, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Henrique M Lederman, MD, PhD, Consulting Staff, Department of Radiology, The Children's Hospital of Philadelphia; Professor of Radiology and Pediatric Radiology, Chief, Division of Diagnostic Imaging in Pediatrics, Federal University of Sao Paulo, Brazil
Henrique M Lederman, MD, PhD is a member of the following medical societies: Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

David A Stringer, BSc, MBBS, FRCR, FRCPC, Professor, National University of Singapore; Head, Diagnostic Imaging, KK Women's and Children's Hospital, Singapore
David A Stringer, BSc, MBBS, FRCR, FRCPC is a member of the following medical societies: British Columbia Medical Association, Canadian Association of Radiologists, European Society of Paediatric Radiology, Ontario Medical Association, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, Royal College of Radiologists, and Society for Pediatric Radiology
Disclosure: None None None

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

John Karani, MBBS, FRCR, Consulting Staff, Department of Radiology, King's College Hospital, London
Disclosure: Nothing to disclose.

 
 
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