Redundant duodenal loop

Case contributed by Dr Jeremy Jones

Presentation

Bilious vomit. Exclude malrotation.

Patient Data

Age: 3 months
Gender: Male
Modality: Fluoroscopy

Initial images are obliqued as the baby is being rolled into position. There is the initial impression of a malplaced DJ flexure on image 2. However, as the contrast continues and the baby is straightened, the contrast flows towards a normally sited DJ flexure. The initial turn was from a redundant duodenal loop.

Case Discussion

This could easily be described as malrotation on the initial imaging. This is a particularly rare finding and the surgical team took the patient to theatre to ensure that the features were simply of an enlarged duodenal loop as distinct from an odd malrotation.

Surgical findings confirmed normal position of the DJ flexure and caecum (a normal mestenteric root).

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Case Information

rID: 24200
Case created: 31st Jul 2013
Last edited: 6th Apr 2017
System: Paediatrics
Inclusion in quiz mode: Included

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