Case Of the Week (COW) 06 Apr 2014
Answer:
MIDGUT VOLVULUS
Findings:
Ultrasound and colour doppler- Mesenteric vessels moving clockwise with superior mesenteric vein seen anterior and to the left of SMA. CECT Abdomen with oral contrast- Distended proximal duodenum with beak like configuration; Swirling appearance of bowel and mesentry and SMV around the SMA axis causing whirlpool sign.
Discussion:
Midgut volvulus is a complication of malrotation in which clockwise twisting of the bowel around the SMA axis occurs because of the narrowed mesenteric attachment . It can potentially occur at any age but in approximately 75% of cases occur within a month of birth and 90% within a year and less than 2% in adolescent and adult age group. Barium meal shows the typical corkscrew appearance of the proximal small bowel.
Contributed By:
Dr ShyamalaRavi, Dr Rajalakshmi, Prof Dr Babupeter
Answer:
MIDGUT VOLVULUS
Findings:
Ultrasound and colour doppler- Mesenteric vessels moving clockwise with superior mesenteric vein seen anterior and to the left of SMA. CECT Abdomen with oral contrast- Distended proximal duodenum with beak like configuration; Swirling appearance of bowel and mesentry and SMV around the SMA axis causing whirlpool sign.
Discussion:
Midgut volvulus is a complication of malrotation in which clockwise twisting of the bowel around the SMA axis occurs because of the narrowed mesenteric attachment . It can potentially occur at any age but in approximately 75% of cases occur within a month of birth and 90% within a year and less than 2% in adolescent and adult age group. Barium meal shows the typical corkscrew appearance of the proximal small bowel.
Contributed By:
Dr ShyamalaRavi, Dr Rajalakshmi, Prof Dr Babupeter