A fluoroscopic upper gastrointestinal series is the most commonly used investigation for the diagnosis of malrotation and midgut volvulus. However, both false positive and false negative results can occur causing diagnostic confusion. Several physiologic states and pathologic conditions can mimic fluoroscopic appearance of malrotation. Proper fluoroscopic technique is essential to maximize diagnostic accuracy. In this pictorial essay, we discuss common diagnostic challenges in the diagnosis of malrotation and strategies radiologists can use to clarify the diagnosis in equivocal cases.
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http://dx.doi.org/10.1067/j.cpradiol.2019.10.002 | DOI Listing |
Int J Surg Case Rep
January 2025
Department of Infection Prevention and Patient Safety, Eka Kotebe General Hospital, Addis Ababa, Ethiopia.
Introduction And Importance: Intestinal malrotation is a congenital disorder resulting from the failure of the normal embryologic fetal sequence of bowel rotation and fixation. Adult midgut malrotation is extremely uncommon, with incidence estimates ranging from 0.0001 % to 0.
View Article and Find Full Text PDFCureus
January 2025
General Surgery, Womack Army Medical Center, Fort Liberty, USA.
This case report presents a unique clinical presentation of small bowel obstruction secondary to congenital partial malrotation of the gut in adults. Partial malrotation may have variable clinical presentations and this case highlights a constellation of patient history, radiographic signs, and operative findings leading to appropriate diagnosis and successful surgical management. A 56-year-old female patient presented with severe abdominal pain, nausea, and anorexia.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
Division of Orthopedic Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Background: Despite advancements in prosthetic designs and surgical techniques, patellar dislocation remains a rare but significant complication following total knee arthroplasty, with an incidence ranging between 0.15% and 0.5%.
View Article and Find Full Text PDFPLoS One
December 2024
Department of Medical Imaging, The Affiliated Suzhou Hospital of Nanjing Medical University, Gusu School of Nanjing Medical University, Suzhou, Jiangsu, China.
Objective: To analytically depict the associated malformations of polysplenia syndrome (PS) in adults via computed tomography (CT).
Materials And Methods: The incidence of malformations associated with PS in twelve adult patients was retrospectively analyzed via CT imaging.
Results: The number of splenic nodules ranged from three to twelve; the splenic nodules were located in the left upper quadrant in nine patients and in the right upper quadrant in three patients.
Int J Surg Case Rep
December 2024
Department of Pediatric Surgery, National Institute of Pediatrics, Av. Insurgentes Sur No. 3700-C, 04530 Mexico City, Mexico. Electronic address:
Introduction And Importance: Neonatal appendicitis is a rare condition with high morbidity and mortality due to its late diagnosis in favor of more common pathologies. There are few reported cases of neonatal appendicitis and even fewer of antenatal appendicitis.
Case Presentation: We report a neonate presenting with abdominal distention and gastric emesis in the setting of a suspected congenital abdominal mass, later diagnosed with neonatal appendicitis requiring intestinal resection and anastomosis.
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