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Preoperative sonographic diagnosis of midgut malrotation with volvulus in adults: the "whirlpool" sign.
J Clin Ultrasound. 1999 Jun; 27(5):279-83.JC

Abstract

Midgut malrotation and volvulus, found mostly in children, are rare and difficult to diagnose preoperatively in adults. We report 2 cases in which a 68-year-old man and a 75-year-old woman presented with intermittent cramping abdominal pain, abdominal distention, and vomiting. Abdominal sonography demonstrated wrapping of the superior mesenteric vein and bowel loops around the superior mesenteric artery (the "whirlpool sign") in both patients. Abdominal CT revealed similar findings. The diagnoses of midgut volvulus and mesenteric malrotation were made, and the patients underwent laparotomy. The man was confirmed to have duodenojejunal malrotation and volvulus, and the woman had cecal volvulus. The whirlpool sign is valuable for the preoperative diagnosis of mesenteric vessel malrotation and midgut volvulus.

Authors+Show Affiliations

Department of Internal Medicine, En Chu Kong Hospital, Taipei Hsien, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10355892

Citation

Yeh, W C., et al. "Preoperative Sonographic Diagnosis of Midgut Malrotation With Volvulus in Adults: the "whirlpool" Sign." Journal of Clinical Ultrasound : JCU, vol. 27, no. 5, 1999, pp. 279-83.
Yeh WC, Wang HP, Chen C, et al. Preoperative sonographic diagnosis of midgut malrotation with volvulus in adults: the "whirlpool" sign. J Clin Ultrasound. 1999;27(5):279-83.
Yeh, W. C., Wang, H. P., Chen, C., Wang, H. H., Wu, M. S., & Lin, J. T. (1999). Preoperative sonographic diagnosis of midgut malrotation with volvulus in adults: the "whirlpool" sign. Journal of Clinical Ultrasound : JCU, 27(5), 279-83.
Yeh WC, et al. Preoperative Sonographic Diagnosis of Midgut Malrotation With Volvulus in Adults: the "whirlpool" Sign. J Clin Ultrasound. 1999;27(5):279-83. PubMed PMID: 10355892.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative sonographic diagnosis of midgut malrotation with volvulus in adults: the "whirlpool" sign. AU - Yeh,W C, AU - Wang,H P, AU - Chen,C, AU - Wang,H H, AU - Wu,M S, AU - Lin,J T, PY - 1999/6/4/pubmed PY - 2000/6/20/medline PY - 1999/6/4/entrez SP - 279 EP - 83 JF - Journal of clinical ultrasound : JCU JO - J Clin Ultrasound VL - 27 IS - 5 N2 - Midgut malrotation and volvulus, found mostly in children, are rare and difficult to diagnose preoperatively in adults. We report 2 cases in which a 68-year-old man and a 75-year-old woman presented with intermittent cramping abdominal pain, abdominal distention, and vomiting. Abdominal sonography demonstrated wrapping of the superior mesenteric vein and bowel loops around the superior mesenteric artery (the "whirlpool sign") in both patients. Abdominal CT revealed similar findings. The diagnoses of midgut volvulus and mesenteric malrotation were made, and the patients underwent laparotomy. The man was confirmed to have duodenojejunal malrotation and volvulus, and the woman had cecal volvulus. The whirlpool sign is valuable for the preoperative diagnosis of mesenteric vessel malrotation and midgut volvulus. SN - 0091-2751 UR - https://www.unboundmedicine.com/medline/citation/10355892/Preoperative_sonographic_diagnosis_of_midgut_malrotation_with_volvulus_in_adults:_the_"whirlpool"_sign_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0091-2751&date=1999&volume=27&issue=5&spage=279 DB - PRIME DP - Unbound Medicine ER -