Small bowel volvulus in children: its appearance on the barium enema examination.Pediatr Radiol. 1980 Nov; 10(2):91-3.PR
Two children with small bowel volvulus diagnosed on barium enema examination are reported. In one patient the volvulus was associated with malrotation and in the other patient there was a post-operative peritoneal adhesion. In both cases the diagnosis was based on "beaking" of the head of the barium column at the site of volvulus. Radiographic demonstration of a "beak" sign in the small bowel on barium enema examination should suggest a diagnosis of small bowel volvulus, and indicates the need for immediate surgery.