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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11163237PMC
http://dx.doi.org/10.1148/ryct.230138DOI Listing

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Intestinal malrotation is an inherited condition where the midgut is not properly rotated, and it tends to be noticed in infancy. It becomes evident in later life with unusual abdominal pain and vomiting, which happen due to occasional blockages. Consequently, there is a risk of midgut volvulus and damage to the blood supply of the bowel.

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Introduction: Midgut volvulus, a complication of intestinal malrotation, is a surgical emergency. Due to its embryologic aetiology, it is predominantly seen in neonates; with about 90% of cases involving children under the age of 1. The majority of these are diagnosed within the first month of life.

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A Rare Case of Malrotation and Midgut Volvulus with Whirlpool Sign.

J Med Ultrasound

June 2021

Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan.

We report a rare case of midgut malrotation and volvulus with "whirlpool sign" in a new-born infant. The "whirlpool sign" is an imaging characteristic of midgut volvulus and has a high predicting value for volvulus. Malrotation or malrotation with volvulus can be effectively diagnosed based on these characteristics.

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Diagnosis and management of intestinal rotational abnormalities with or without volvulus in the pediatric population.

Semin Pediatr Surg

February 2022

Division of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, 43210. Electronic address:

Article Synopsis
  • Intestinal malrotation is a congenital issue that can lead to midgut volvulus, which may require emergency surgery to avoid blood supply loss to the intestines, manifesting in three types: non-rotation, complete rotation, and incomplete rotation.* -
  • A Ladd's procedure, which addresses malrotation, is debated in terms of its necessity and effectiveness, particularly among patients with heterotaxy syndrome or those who are asymptomatic, and can be done either laparoscopically or through open surgery.* -
  • Diagnosis of malrotation typically involves evaluating symptoms like abdominal pain and bilious vomiting, with an upper gastrointestinal contrast study being highly sensitive for detecting volvulus.*
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