J Korean Pediatr Soc.  1997 Jan;40(1):140-143.

A Case of Intestinal Malrotation Complicated by Midgut Volvulus: Diagnosis with Abdominal CT Scan

• Kim BJ
• Hwang MJ
• Ma JS

Abstract

Intestinal malrotation is a constellation of a wide spectrum of embryologic failures of rotation and fixation of the gut, resulting in a narrow-based attachment of the mesentery and the presence of abnormal peritoneal (Ladd's) band. These abnormalities predispose to midgut volvulus, intestinal obstruction and internal herniation. We experienced a case of intestinal malrotation complicated by midgut volvulus in a 4-year-old girl who presente with abdominal pain, abdominal distension and melena. The diagnosis was made by abdominal CT scan, which showed "whirl sign." The diagnosis was confirmed by surgery. A brief review of literature ensues.

Keyword

Midgut volvulus; Intestinal malrotation; Abdominal CT scan

MeSH Terms

Abdominal Pain
Acidosis
Acidosis, Renal Tubular*
Adolescent
Alkalies
Anemia, Hemolytic
Atrophy
Biopsy
Chest Pain
Child, Preschool
Diagnosis*
Exanthema
Female
Fever
Fibrosis
Hospitalization
Humans
Hypergammaglobulinemia
Hypokalemia
Intestinal Volvulus*
Leukopenia
Liver Diseases
Lupus Erythematosus, Systemic*
Lymphopenia
Melena
Mesentery
Molecular Weight
Multiple Myeloma
Nephrotic Syndrome
Neutrophils
Potassium
Prednisolone
Proteinuria
Thyroid Diseases
Tomography, X-Ray Computed*
Alkalies
Potassium
Prednisolone