Computed Tomography Diagnosis of Malrotation with Midgut Volvulus and Superior Mesenteric Vein Thrombosis Beyond Infancy

Oncology, Gastroenterology and Hepatology Reports,2013,2,2,57-59.
Published:July 2013
Type:Case Report
Authors:
Author(s) affiliations:

Bhawna Satija, Sanyal Kumar, Supreethi Kohli

Department of Radiodiagnosis, Employees State Insurance Hospital and Post Graduate Institute of Medical Science and Research, New Delhi, India

Abstract:

Malrotation can be difficult to diagnose beyond the newborn period because of its non-specific symptoms and clinical findings. We present an unusual case of malrotation with midgut volvulus and superior mesenteric vein thrombosis in an adolescent. An 11-year-old girl presented to the paediatric emergency department with persistent vomiting, dyselectrolytemia, and metabolic alkalosis. An unremarkable abdominal radiograph and ultrasonography examination prompted a computerised scan of the abdomen. The diagnosis of malrotation with midgut volvulus and superior mesenteric vein thrombosis was made. The findings were confirmed on laproscopy and the patient underwent successful Ladd’s procedure. This case report emphasizes the importance of imaging, especially computed tomography, in making accurate diagnosis of malrotation and its complications, beyond the newborn period.