Midgut volvulus

Case contributed by Sachin T
Diagnosis certain

Presentation

Presented with recurrent episodes of abdominal pain and vomiting.

Patient Data

Age: 8 years
Gender: Female
ct

There is swirling of the mesentery and superior mesenteric vein around the superior mesenteric artery (Whirlpool sign). Small bowel loops are seen in the right side of the abdomen with appendix seen in the left iliac fossa.

Case Discussion

Midgut volvulus is commonly seen in infants and rarely in adults. Midgut volvulus occurs as a complication of malrotated bowel. Early surgical intervention is often required to prevent bowel obstruction and ischemia.

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