A Case of Intestinal Malrotation Complicated by Midgut Volvulus: Diagnosis with Abdominal CT Scan.
- Author:
Byung Ju KIM
;
Mi Jeong HWANG
;
Jae Sook MA
- Publication Type:Case Report
- Keywords:
Midgut volvulus;
Intestinal malrotation;
Abdominal CT scan
- MeSH:
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*
- From:Journal of the Korean Pediatric Society
1997;40(1):140-143
- CountryRepublic of Korea
- Language:Korean
-
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.
