Color Doppler—An effective tool for diagnosing midgut volvulus with malrotation
- 26.01.2017
- Original Article
- Verfasst von
- Bindey Kumar
- Manish Kumar
- Prem Kumar
- Amit Kumar Sinha
- Utpal Anand
- Anil Kumar
- Erschienen in
- Indian Journal of Gastroenterology | Ausgabe 1/2017
Abstract
Background
Malrotation with midgut volvulus is a common surgical emergency in children. A diagnostic tool for malrotation with characteristics ideal in emergency settings such as non-invasiveness and rapidity remains a keenly debated issue among surgeons and radiologists alike.
Methods
Fifty-two pediatric patients of suspected malrotation with midgut volvulus were studied between 1998 and 2016. All patients underwent plain abdominal X-ray and Color Doppler; contrast upper gastrointestinal (GI) studywas done in some patients. All cases were operated and diagnosis was confirmed. A subset of 60 pediatric patients with nonspecific GI complaints were also examined to see relative position of superior mesenteric vein (SMV)/superior mesenteric artery (SMA) in control population.
Result
A total of 52 suspected cases of malrotation were admitted from May 1998 to November 2015, 43 had inversion of SMA/SMV and nine had SMV anterior of SMA in Color Doppler. All 43 cases of inversion of SMA/SMV were cases of malrotation after surgical confirmation; while five out of nine cases of SMV anterior to SMA had malrotation.
Conclusion
In appropriate clinical settings, Color Doppler documenting the reversal or aberrant SMV/SMA axis is not only predictive but also diagnostic of malrotation of gut.
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- Titel
- Color Doppler—An effective tool for diagnosing midgut volvulus with malrotation
- Verfasst von
-
Bindey Kumar
Manish Kumar
Prem Kumar
Amit Kumar Sinha
Utpal Anand
Anil Kumar
- Publikationsdatum
- 26.01.2017
- Verlag
- Springer India
- Erschienen in
-
Indian Journal of Gastroenterology / Ausgabe 1/2017
Print ISSN: 0254-8860
Elektronische ISSN: 0975-0711 - DOI
- https://doi.org/10.1007/s12664-017-0729-5
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