CT diagnosis of midgut malrotation.
- Author:
Huan-yi GUO
1
;
Shi-ting FENG
;
Zi-ping LI
;
Xiao-yan WANG
;
Can-hui SUN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Child; Child, Preschool; Digestive System Abnormalities; diagnostic imaging; Female; Humans; Infant; Infant, Newborn; Intestine, Small; diagnostic imaging; Jejunum; diagnostic imaging; Male; Mesentery; diagnostic imaging; Middle Aged; Retrospective Studies; Tomography, X-Ray Computed; Torsion Abnormality; diagnostic imaging; Young Adult
- From: Chinese Journal of Gastrointestinal Surgery 2009;12(6):588-590
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the diagnostic value of CT in midgut malrotation.
METHODSThe CT appearances of 16 patients with midgut malrotation were analyzed retrospectively.
RESULTSThe features of CT manifestation in 16 cases were as follows: (1) Horizontal part of duodenum could not reach medioventral line or could reach it but encircled right-down behind the superior mesenteric artery(SMA). (2) Ectopic ileocecal junction. (3) Jejunum located in right-middle abdomen while ileum in left abdomen. (4) A clockwise or counterclockwise rotation of the superior mesenteric vein (SMV) around the SMA. (5) Mid-gut volvulus.(6)Accompanied by other malformations.
CONCLUSIONAmbulation of duodenum, location of the small intestine and colon as well as anatomical position of mesenteric vessels should be intensively observed in order to exclude midgut malrotation.
