Incidental small bowel malrotation

Case contributed by Dr. Chris O'Donnell

Presentation

Two-month history of abdominal discomfort and swelling.

Patient Data

Age: 65 years
Gender: Female

Scout film showing small bowel loops all to the right of midline and colon to the left. Typical malrotation with the SMA to the right of the SMV (arrow). 

Oblique coronal reconstruction with CBD entering the duodenum to the right of its normal position.

Oblique sagittal reconstruction of the CBD (arrow) showing it entering the duodenum more anteriorly than usual indicating that the duodenum is not in its normal position ie more anterior and to the right

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.