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 Abdomen and pelvis

CT

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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