Intestinal malrotation with midgut volvulus

Case contributed by Dr Hidayatullah Hamidi

Presentation

Abdominal pain associated with weight loss and anorexia for 3 months.

Patient Data

Age: 7 years
Gender: Female

Evidence clockwise swirling of mesentery and superior mesenteric vein around superior mesenteric artery at the duodenojejunal junction making the so-called whirlpool sign resulting in significant distension of the duodenum, gastric pyloris and stomach.

The duodenojejunal flexure (DJF) is located lower than its normal position showing abrupt narrowing. No bowel dilatation distal to the DJF.

Right renal pelvis fullness is noted probably due to pressure effect caused by distended duodenum.

Case Discussion

The features are suggestive of intestinal malrotation with midgut volvulus (chronic) resulting in significant proximal gastroduodenal distension

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Case information

rID: 56873
Published: 5th Dec 2017
Last edited: 20th Dec 2017
Inclusion in quiz mode: Included

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