Midgut volvulus

Case contributed by Kewal Arunkumar Mistry
Diagnosis almost certain

Presentation

Intermittent incomplete small bowel obstruction.

Patient Data

Age: 9 years
Gender: Female
ultrasound

Grey scale and color Doppler US through the upper abdomen show whirling vessels and surrounding small bowel loops on transverse scan and corkscrew appearance on longitudional scan.

SMA-SMV relation is reversed. Note splenomegaly and mesenteric lymphadenopathy.

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