Midgut malrotation

Case contributed by Dr Aditya Shetty

Presentation

Occasional pain in abdomen of intermittent type; no history of vomiting

Patient Data

Age: 20 years
Gender: Female

Barium meal follow through study findings:

  • the distal duodenum, duodeno-jejunal flexure and proximal jejunum are not visualized in the midline or to the left of the spine
  • the rest of the small bowel loops are seen to lie predominantly to the right of the spine
  • the barium filled ascending colon is seen to lie in midline and to the left of spine

Case Discussion

Case of midgut malrotation 

It is a congenital anomaly

No evidence of volvulus is noted on barium study or clinically

A spiral appearance of the distal duodenum and proximal jejunum giving a corkscrew configuration on barium would indicate midgut volvulus. Also patient would present with bilious vomiting.

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