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Midgut volvulus in an adult patient.
JBR-BTR. 2003 Mar-Apr; 86(2):74-6.J

Abstract

The authors report on a case of midgut volvulus in a 27-year-old man who presented with bilious vomiting and acute abdominal pain. US demonstrated a reversal of the normal relationship between the superior mesenteric artery (SMA) and superior mesenteric vein (SMV). A clockwise whirlpool sign, diagnostic for midgut volvulus, was not visualised. In a further assessment, upper gastrointestinal series demonstrated obstruction in the second part of the duodenum highly suspicious of Ladd's bands. Malpositioning of bowel structures, as already suggested by the reversal of the SMA and SMV on ultrasound, and a distinctive whirl pattern due to the bowel wrapping around the SMA was demonstrated on CT. Furthermore angiography revealed focal twisting of the SMA. US is the first imaging modality to perform in suspicion of midgut volvulus. When inconclusive, CT is in our opinion the next stage in the diagnostic work-up.

Authors+Show Affiliations

Department of Radiology, Ziekenhuis Oost Limburg, Genk, Belgium.No affiliation info availableNo 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

12839419

Citation

Janssens, F, et al. "Midgut Volvulus in an Adult Patient." JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR), vol. 86, no. 2, 2003, pp. 74-6.
Janssens F, Verswijvel G, Smits J, et al. Midgut volvulus in an adult patient. JBR-BTR. 2003;86(2):74-6.
Janssens, F., Verswijvel, G., Smits, J., Dams, A., Verhelst, H., Robaeys, G., & Palmers, Y. (2003). Midgut volvulus in an adult patient. JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR), 86(2), 74-6.
Janssens F, et al. Midgut Volvulus in an Adult Patient. JBR-BTR. 2003 Mar-Apr;86(2):74-6. PubMed PMID: 12839419.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Midgut volvulus in an adult patient. AU - Janssens,F, AU - Verswijvel,G, AU - Smits,J, AU - Dams,A, AU - Verhelst,H, AU - Robaeys,G, AU - Palmers,Y, PY - 2003/7/4/pubmed PY - 2004/1/6/medline PY - 2003/7/4/entrez SP - 74 EP - 6 JF - JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR) JO - JBR-BTR VL - 86 IS - 2 N2 - The authors report on a case of midgut volvulus in a 27-year-old man who presented with bilious vomiting and acute abdominal pain. US demonstrated a reversal of the normal relationship between the superior mesenteric artery (SMA) and superior mesenteric vein (SMV). A clockwise whirlpool sign, diagnostic for midgut volvulus, was not visualised. In a further assessment, upper gastrointestinal series demonstrated obstruction in the second part of the duodenum highly suspicious of Ladd's bands. Malpositioning of bowel structures, as already suggested by the reversal of the SMA and SMV on ultrasound, and a distinctive whirl pattern due to the bowel wrapping around the SMA was demonstrated on CT. Furthermore angiography revealed focal twisting of the SMA. US is the first imaging modality to perform in suspicion of midgut volvulus. When inconclusive, CT is in our opinion the next stage in the diagnostic work-up. SN - 0302-7430 UR - https://www.unboundmedicine.com/medline/citation/12839419/Midgut_volvulus_in_an_adult_patient_ L2 - https://medlineplus.gov/ctscans.html DB - PRIME DP - Unbound Medicine ER -