Midgut volvulus

Case contributed by Dr Bruno Di Muzio

Presentation

Recurrent episodes of abdominal pain with vomiting over a period of months, improving spontaneously.

Patient Data

Age: 45 years
Gender: Female
CT

CT Abdomen and pelvis

Axial CT shows the whirlpool sign of the mesenteric vessels and malrotated bowel configuration with duodenal D3 and D4 located to the right of the spine. 
 

Case Discussion

Although more frequently seen in infants, midgut volvulus of malrotated bowel can potentially occur at any age. 

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Case information

rID: 13884
Published: 28th May 2011
Last edited: 28th Jun 2018
Inclusion in quiz mode: Included

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