KS. White (Primary Children's Medical Center/ SLC/ UT/ USA)  

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2 Years  

Male  

GI-Small intestine  

congenital  

2 year old male with bilious vomiting.  

Incomplete rotation of the small bowel during fetal development results in narrow fixation of the small bowel mesentary. The narrow mesentaric fixation is prone to rotation and volvulus.  

<- view X-Ray 1

X-Ray 1: UGI demonstrates a duodenal obstruction.






<- view X-Ray 2

X-Ray 2: UGI demonstrates a duodenal obstruction.






<- view CT 1

CT 1: CT demonstrates rotation of the axis of the superior mesenteric artery and vein in the root of the small bowel mesentary.






<- view CT 3

CT 3: CT demonstrates rotation of the axis of the superior mesenteric artery and vein in the root of the small bowel mesentary.-






<- view CT 4

CT 4: CT demonstrates rotation of the axis of the superior mesenteric artery and vein in the root of the small bowel mesentary.



 

Surgery / Histo  

Duodenal web  

Surgical exploration is critical as venous congestion and ischemia can result in long segment small bowel necrosis and consequent short gut syndrome.  

N/A  

N/A  

N/A  

Malrotation, Midgut volvulus, bilious vomiting, Mid-gut volvulus, child, childhood, pediatric radiology  

KS White. Malrotation with Midgut Volvulus. PedRad [serial online] vol 4, no. 6.
URL: www.PedRad.info/?search=20040610000709