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Erschienen in: Indian Journal of Gastroenterology 1/2017

26.01.2017 | Original Article

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

Erschienen in: Indian Journal of Gastroenterology | Ausgabe 1/2017

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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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Metadaten
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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