GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Midgut volvulus

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Bilious vomiting.

Patient Data

Age: 5 days
Gender: Male
x-ray

Prominent loops of gas-filled small bowel. No gas is seen in the rectum.

Fluoroscopy

Barium meal demonstrates a cork-screw proximal jejunum, with the DJ-flexure never reaching the left side of the abdomen, or ascending to L1. Features are in keeping with intestinal malrotation, and given the history, small bowel volvulus. 

Case Discussion

Features are in keeping with intestinal malrotation, and given the history, small bowel volvulus

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.