Intestinal malrotation and midgut volvulus
Presentation
Bilious vomiting. Unwell.
Patient Data
Age: 13 days
Gender: Male
From the case:
Intestinal malrotation and midgut volvulus
X-ray
Abdominal x-ray
Abdominal xrays demonstrates prominent gastric outline with little distal intraluminal gas.
From the case:
Intestinal malrotation and midgut volvulus
X-ray
Lateral cross-table abdominal x-ray
Lateral cross-table shoot through demonstrates no evidence of free intraabdominal gas.
From the case:
Intestinal malrotation and midgut volvulus
Barium
Barium meal
Barium meal demonstrates malrotation, with the DJ flexure not visible, and certainly not located to the left of the mid line. Rather the small bowel passes directly inferiorly from the second part of the duodenum with are helical path.
Case Discussion
This child went on to have a laparotomy. Fortunately his bowel was not infarcted, and he made an uncomplicated recovery. Everyone likes a happy ending.
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