eMedicine Specialties > Radiology > Pediatrics

Midgut Volvulus: Multimedia

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

Multimedia

Malrotation with midgut volvulus shows torsion ar...
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Media file 1: Malrotation with midgut volvulus shows torsion around the narrow mesenteric stalk.
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Malrotation with midgut volvulus shows torsion ar...

Malrotation with midgut volvulus shows torsion around the narrow mesenteric stalk.

Supine radiograph in a newborn with midgut volvul...
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Media file 2: Supine radiograph in a newborn with midgut volvulus shows a high intestinal obstruction.
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Supine radiograph in a newborn with midgut volvul...

Supine radiograph in a newborn with midgut volvulus shows a high intestinal obstruction.

Upper GI series shows malrotation without midgut ...
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Media file 3: Upper GI series shows malrotation without midgut volvulus in an infant with vomiting but without failure to thrive. The duodenojejunal junction is low and to the right of the spine on this frontal view.
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Upper GI series shows malrotation without midgut ...

Upper GI series shows malrotation without midgut volvulus in an infant with vomiting but without failure to thrive. The duodenojejunal junction is low and to the right of the spine on this frontal view.

Upper GI series shows malrotation with midgut vol...
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Media file 4: Upper GI series shows malrotation with midgut volvulus. An incomplete duodenal obstruction and dilation of the first and second portions are seen, as is the "corkscrew sign."
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Upper GI series shows malrotation with midgut vol...

Upper GI series shows malrotation with midgut volvulus. An incomplete duodenal obstruction and dilation of the first and second portions are seen, as is the "corkscrew sign."

Upper GI series shows malrotation with midgut vol...
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Media file 5: Upper GI series shows malrotation with midgut volvulus in a lateral view.
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Upper GI series shows malrotation with midgut vol...

Upper GI series shows malrotation with midgut volvulus in a lateral view.

Upper GI series shows the "corkscrew sign" in a f...
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Media file 6: Upper GI series shows the "corkscrew sign" in a frontal view (same patient as in Image 5).
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Upper GI series shows the "corkscrew sign" in a f...

Upper GI series shows the "corkscrew sign" in a frontal view (same patient as in Image 5).

Upper GI series and a small bowel study show malr...
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Media file 7: Upper GI series and a small bowel study show malrotation without midgut volvulus in a patient with complex congenital heart disease and heterotaxy. Note the small bowel in the right abdomen.
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Upper GI series and a small bowel study show malr...

Upper GI series and a small bowel study show malrotation without midgut volvulus in a patient with complex congenital heart disease and heterotaxy. Note the small bowel in the right abdomen.

Ultrasound with color Doppler ultrasonography sho...
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Media file 8: Ultrasound with color Doppler ultrasonography shows malrotation with midgut volvulus demonstrating the "whirlpool sign." The superior mesenteric vein (SMV) in this patient wraps around the superior mesenteric artery (SMA).
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Ultrasound with color Doppler ultrasonography sho...

Ultrasound with color Doppler ultrasonography shows malrotation with midgut volvulus demonstrating the "whirlpool sign." The superior mesenteric vein (SMV) in this patient wraps around the superior mesenteric artery (SMA).

CT scan shows the abnormal relationship of the su...
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Media file 9: CT scan shows the abnormal relationship of the superior mesenteric vein (SMV) to the superior mesenteric artery (SMA). The SMV should lie to the right of the SMA in this adolescent with undiagnosed malrotation without volvulus (V=SMV, A=SMA).
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CT scan shows the abnormal relationship of the su...

CT scan shows the abnormal relationship of the superior mesenteric vein (SMV) to the superior mesenteric artery (SMA). The SMV should lie to the right of the SMA in this adolescent with undiagnosed malrotation without volvulus (V=SMV, A=SMA).

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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  11. Miyakoshi K, Ishimoto H, Tanigaki S, Minegishi K, Tanaka M, Miyazaki T. Prenatal diagnosis of midgut volvulus by sonography and magnetic resonance imaging. Am J Perinatol. Dec 2001;18(8):447-50. [Medline].

  12. Mori H, Hayashi K, Futagawa S. Vascular compromise in chronic volvulus with midgut malrotation. Pediatr Radiol. 1987;17(4):277-81. [Medline].

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  14. Pracros JP, Sann L, Genin G. Ultrasound diagnosis of midgut volvulus: the "whirlpool" sign. Pediatr Radiol. 1992;22(1):18-20. [Medline].

  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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