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Erschienen in: Pediatric Radiology 4/2021

04.01.2021 | Pictorial Essay

Untwisting the complexity of midgut malrotation and volvulus ultrasound

verfasst von: HaiThuy N. Nguyen, Oscar M. Navarro, R. Paul Guillerman, Cicero T. Silva, Marla B. K. Sammer

Erschienen in: Pediatric Radiology | Ausgabe 4/2021

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Abstract

Abdominal US is emerging as an alternative to the upper gastrointestinal (GI) series as the preferred diagnostic imaging test for midgut malrotation complicated by volvulus. Unlike the upper GI series, US is free from ionizing radiation, does not require oral contrast agent, and can be performed portably and at times remotely from the interpreting radiologist, expediting diagnosis. Although some institutions do not have a standardized US protocol for midgut volvulus, many routinely use US in the setting of an infant or child with acute abdominal signs or symptoms to evaluate for common conditions such as hypertrophic pyloric stenosis, intussusception, necrotizing enterocolitis and appendicitis. Because these common conditions can overlap in age and clinical presentation with midgut volvulus, the aim of this pictorial essay is to provide instruction on the technique and diagnostic findings of midgut volvulus on US to ensure confident, accurate interpretation, and prompt treatment.
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Metadaten
Titel
Untwisting the complexity of midgut malrotation and volvulus ultrasound
verfasst von
HaiThuy N. Nguyen
Oscar M. Navarro
R. Paul Guillerman
Cicero T. Silva
Marla B. K. Sammer
Publikationsdatum
04.01.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 4/2021
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-020-04876-x

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