SONOWORLD : Malrotation of gut with midgut volvulus
 
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Abdomen » Gastrointestinal
Malrotation of gut with midgut volvulus
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Author(s) :
Deepak Chawla, MD
 
Presentation A 13 month old child presents with history of vomiting and a palpable mass in the epigastric region. An abdominal ultrasound was performed.
 
 
 
Caption: Transverse scan of the epigastrium
Description: This scan demonstrates coiled bowel loops with the echogenic mesentery within.
 
 
 
Caption: Transverse view of the palpable mass
Description: This is the transverse view of the mass again demonstrating the bowel loops, which form a palpable mass.
 
 
 
Caption: Transverse view of the mass
Description: The coiled bowel loops and the mesentery noted again.
 
 
 
Caption: Transverse color Doppler view
Description: This view shows flow in the superior mesenteric artery with the superior mesenteric vein lying adjacent to the artery.
 
 
 
Caption: Oblique color Doppler view
Description: This view shows the classic whirlpool sign, with the superior mesenteric vein lying external to the artery and wrapping around the artery.
 
 
 
Caption: Transverse color Doppler view of the mass
Description: Again seen is flow in the SMV wrapping around the SMA in a clockwise direction.
 
 
 
Caption: Small bowel barium contrast studies.
Description: These series of radiographs confirm the diagnosis, demonstrating the small bowel loops that lie to the right side of the abdomen.
 
Differential Diagnosis Malrotated gut with midgut volvulus
 
Final Diagnosis Malrotated gut with midgut volvulus
 
Follow Up This patient went to surgery and the diagnosis confirmed.
 
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