Correspondence to: Mr SJ K Holmes. Introduction There are now sufficient data on the sonographic appearance ofnormal fetal gut to allow intestinal abnormality in the antenatal period to be diagnosed, although as yet relatively little attention has been paid to the implications for the child. We present eight such cases. Six children were found to have midgut atresia, three of whom had evidence ...

Volvulus of the alimentary tract accounts for 10% of all intestinal obstructions. It occurs most frequently in the sigmoid colon, less so in the small intestine and caecum, and least of all in the transverse colon. Whereas volvulus of the sigmoid colon is a well-known and well-documented entity, volvulus of the caecum is considered a rarity, a review of the literature published in English showi...

Peterson's hernia is an internal hernia that can occur after Roux-en-Y anastomosis. It often accompanies small bowel volvulus and is prone to strangulation. Reconstruction of intestinal continuity after massive small bowel resection in a patient who undergoes near total gastrectomy and Roux-en-Y anastomosis can be difficult. A 74-year-old man who had undergone a near total gastrectomy and Roux-...

Introduction This is a report of two male patients (35 and 54 years old, respectively) admitted to our surgical department with signs of small-bowel obstruction. Case Presentations Diagnostic workup with plain abdominal radiographs and, more specifically, computed tomography suggested the possibility of bowel rotation. In order to exclude any possibility of associated intestinal ischemia, both ...

We report a case of a 53-year-old male who presented with acute onset right upper quadrant (RUQ) abdominal pain with investigations demonstrating malrotation causing midgut volvulus and subsequent intestinal obstruction. The patient was consented for an emergent operation and underwent an exploratory laparotomy. Operative findings included the presence of adhesive bands in the RUQ (Ladd's Band)...

Caecal volvulus is an infrequently encountered clinical condition and an uncommon cause of intestinal obstruction. Patients with this condition may present with highly variable clinical presentations ranging from intermittent, self limiting abdominal pain to acute abdominal pain associated with intestinal strangulation and sepsis. Lack of familiarity with this condition is a factor contributing...

Percutaneous endoscopic colostomy (PEC) was first described in 1986, by Jeffrey Ponski [1], who had invented percutaneous endoscopic gastrostomy a few years before that [2]. Performed by 2 operators, PEC consists of placing a tube in the colon during colonoscopy in order to provide antegrade colonic enemas (ACE) in severe constipation or fecal incontinence [3,4]. The PEC tube can also be used a...

Although the color Doppler ultrasonography diagnosis of intestinal malrotation with midgut volvulus, based on the typical "whirlpool" appearance of the mesenteric vascular structures is well-defined in the peer-reviewed literature, the combination of both the angiographic illustration of these findings and the contemporary state-of-the-art imaging techniques is lacking. We report the digital su...

A 29-year-old male presented symptoms of pain in the upper abdomen accompanied by vomiting. Of relevance in his medical history, the patient reported episodes of recurrent chronic abdominal pain and vomiting. An abdominal CAT-scan was performed (Fig. 1) which showed an anomalous arrangement of the bowel loops located in the upper abdomen. It also revealed a horseshoe-kidney and signs of bowel o...

Our purpose is to show the Multi-Detector CT (MDCT) findings of an intra-abdominal giant cystic lesion with midgut volvulus and to share our experience with giant lymphangiectasis mimicking a mesenteric cyst or a cystic mass. The pathological evaluation indicated that the cyst contained abdominal lymphatic material. Malrotation is usually detected in infants and children, but rarely in adults. ...