Intestinal malrotation is an uncommon cause of abdominal pain and normally presents during infancy. Familial cases of malrotation are extremely rare in the absence of other congenital malformations. We present the case of a 22-year-old woman with undiagnosed chronic abdominal pain and her previously well 16-year-old brother who presented within 18 months of each other with acute midgut volvulu...

Korean J Radiol 9(5), October 2008 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 i...

BACKGROUND Gastric volvulus is a clinically significant cause of acute or recurrent abdominal pain and chronic vomiting in children. Since related clinical symptoms are nonspecific, clinicians often refer to radiologists for a diagnostic evaluation. Early diagnosis is crucial to prevent life-threatening complications of prolonged volvulus, such as intestinal ischemia, infarction, strangulation,...

BACKGROUND the diagnostic and therapeutic management of colonic volvulus remains nowadays controversial. The election of the type of surgery, its timing, or the use of non-operative decompression must be based on the experience of a multidisciplinary team, the clinical condition of the patient, and the type of volvulus. OBJECTIVES the purpose of this study is to review our experience and resu...

found distended abdomen with sluggish bowel sounds and loaded rectum. On further evaluation with Xray, abdomen supine showed dilated small-bowel loops [Figure 1]. Hence, initially paralytic ileus was suspected. Patient was treated conservatively and was observed for the next 24 h. Patient was found to deteriorate with progressive symptoms and increasing abdominal girth (from 76 to 84 cm). Thus,...

BACKGROUND/AIMS Although multiple treatment options exist for the management of sigmoid colon volvulus, no study has examined the factors associated with successful endoscopic detorsion. This study aimed to examine the clinical course of patients with sigmoid colon volvulus and to identify factors related to successful endoscopic detorsion. METHODS This study included 30 cases (21 patients) o...

1. What signs and symptoms suggest intestinal obstruction in the neonate? Signs and symptoms vary according to the location of the obstruction. Proximal intestinal obstruction leads to early bilious vomiting, typically with minimal distention. Neonates with distal intestinal obstruction often present after the first day of life with distention and bilious emesis. Bilious emesis in infants and c...