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Intestinal malrotation

[Clinical features: midgut volvulus; abdominal distension and pain; vomiting]

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12-year-old girl with acute abdominal pain from malrotation with midgut volvulus
12-year-old girl with acute abdominal pain from malrotation with midgut volvulus
12-year-old girl with acute abdominal pain from malrotation with midgut volvulus
American Journal of Roentgenology
American Journal of Roentgenology
American Journal of Roentgenology

22-year-old man with episodic colicky abdominal pain. Axial contrast-enhanced CT scan shows vertical orientation of superior mesenteric artery (arrowhead) and superior mesenteric vein (v)
22-year-old man with episodic colicky abdominal pain. Coronal reformatted image shows contrast agent—filled small bowel on right and colon on left. Note cecal position (arrow)
23-year-old man with acute abdominal pain from malrotation with internal hernia and partial midgut volvulus
American Journal of Roentgenology
American Journal of Roentgenology
American Journal of Roentgenology

23-year-old man with acute abdominal pain from malrotation with internal hernia and partial midgut volvulus
23-year-old man with acute abdominal pain from malrotation with internal hernia and partial midgut volvulus
29-year-old man with acute abdominal pain and vomiting from malrotation with midgut volvulus
American Journal of Roentgenology
American Journal of Roentgenology
American Journal of Roentgenology

29-year-old man with acute abdominal pain and vomiting from malrotation with midgut volvulus
29-year-old man with acute abdominal pain and vomiting from malrotation with midgut volvulus
29-year-old woman with chronic intermittent abdominal pain. CT scan shows cecum (C) and ascending colon predominately on left, adjacent to sigmoid colon (arrow). Small bowel occupies right side of abdomen
American Journal of Roentgenology
American Journal of Roentgenology
American Journal of Roentgenology

29-year-old woman with chronic intermittent abdominal pain. Spot radiograph from barium upper gastrointestinal series shows contrast agent—filled duodenum and jejunal loops that remain right-sided without crossing spine to left
29-year-old woman with chronic intermittent abdominal pain. Supine frontal abdominal radiograph shows small bowel with jejunal markings on right (arrowheads) and colon predominately on left. Note absence of colon in right lower quadrant (arrow)
29-year-old woman with chronic intermittent abdominal pain. Supine frontal radiograph from barium enema examination shows near-normal location of cecum (C), possibly due to air distention or related to chance positioning on lax mesentery of cecum
American Journal of Roentgenology
American Journal of Roentgenology
American Journal of Roentgenology

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Edited by Aldo Campana, February 8, 2010