Midgut volvulus: ischaemic
Background of prior brain injury. Signs of bowel obstruction ?cause.
Loading Stack -
0 images remaining
Whirlpool sign (swirling of the superior mesenteric vessels), in keeping with mid gut malrotation plus diminishing contrast medium in the more distal portion of the SMA in keeping with vascular compromise.
Third part of the duodenum crosses form left to right and the DJ flexure is located on the right side.
The small bowel loops are prominent in calibre measuring up to 3 cm in diameter. Multiple fluid levels are seen in the small bowel.
There is a small amount of free fluid in the abdomen and pelvis. No free air that could suggest a perforation is visualised.
This patient had a rapid deterioration and was found to have ischemic gut secondary to SMA compromise in theatre, unfortunately resulting in a fatal outcome.