The most accurate and practical imaging algorithm for the diagnosis of intestinal malrotation can be a complex and sometimes controversial topic.Since 1900,sig-nificant advances have been made in the radiographic asse...The most accurate and practical imaging algorithm for the diagnosis of intestinal malrotation can be a complex and sometimes controversial topic.Since 1900,sig-nificant advances have been made in the radiographic assessment of infants and children suspected to have anomalies of intestinal rotation.We describe the cur-rent methods of abdominal imaging of malrotation along with their pros and cons.When associated with volvulus,malrotation is a true surgical emergency re-quiring rapid diagnosis and treatment.We emphasize the importance of close cooperation and communica-tion between radiology and surgery to perform an effective and efficient diagnostic evaluation allowing prompt surgical decision making.展开更多
目的探讨超声对新生儿肠旋转不良合并中肠扭转(Midgut volvulus in intestinal malrotation,MVIM)的诊断价值。方法对11例术前超声明确诊断并经手术证实的MVIM新生儿的临床及超声资料进行回顾性分析。结果超声均发现肠系膜根部肠系膜...目的探讨超声对新生儿肠旋转不良合并中肠扭转(Midgut volvulus in intestinal malrotation,MVIM)的诊断价值。方法对11例术前超声明确诊断并经手术证实的MVIM新生儿的临床及超声资料进行回顾性分析。结果超声均发现肠系膜根部肠系膜上静脉围绕肠系膜上动脉顺时针旋转形成的"漩涡征",旋转度数为270°~720°,诊断符合率为100%。结论超声诊断新生儿MVIM特异性强,准确率高,应作为术前确诊的首选检查方法。展开更多
Midgut volvulus is a clinical rare condition which appears as recurrent intermittent abdominal pain after consumption of food with intermittent colicky pain and sometimes with completely asymptomatic period. This gut ...Midgut volvulus is a clinical rare condition which appears as recurrent intermittent abdominal pain after consumption of food with intermittent colicky pain and sometimes with completely asymptomatic period. This gut twist may result in complications such as ischemia, obstruction, hemorrhage, or perforation. In the yolk sac during the third week of intrauterine life, there is normal communication with intraembryonic gut. During development proceeds, this communication gets thinner into a tube known as the vitellointestinal duct. Vitellointestinal duct usually becomes obliterated before eighth week of intrauterine life. In about 2% of people this duct persists and gives rise to a group of anomalies such as Meckel’s diverticulum is the commonest and complete patency of the duct is the rarest. Here we present the case of a 34-year-old male who presented with both conditions.展开更多
文摘The most accurate and practical imaging algorithm for the diagnosis of intestinal malrotation can be a complex and sometimes controversial topic.Since 1900,sig-nificant advances have been made in the radiographic assessment of infants and children suspected to have anomalies of intestinal rotation.We describe the cur-rent methods of abdominal imaging of malrotation along with their pros and cons.When associated with volvulus,malrotation is a true surgical emergency re-quiring rapid diagnosis and treatment.We emphasize the importance of close cooperation and communica-tion between radiology and surgery to perform an effective and efficient diagnostic evaluation allowing prompt surgical decision making.
文摘目的探讨超声对新生儿肠旋转不良合并中肠扭转(Midgut volvulus in intestinal malrotation,MVIM)的诊断价值。方法对11例术前超声明确诊断并经手术证实的MVIM新生儿的临床及超声资料进行回顾性分析。结果超声均发现肠系膜根部肠系膜上静脉围绕肠系膜上动脉顺时针旋转形成的"漩涡征",旋转度数为270°~720°,诊断符合率为100%。结论超声诊断新生儿MVIM特异性强,准确率高,应作为术前确诊的首选检查方法。
文摘Midgut volvulus is a clinical rare condition which appears as recurrent intermittent abdominal pain after consumption of food with intermittent colicky pain and sometimes with completely asymptomatic period. This gut twist may result in complications such as ischemia, obstruction, hemorrhage, or perforation. In the yolk sac during the third week of intrauterine life, there is normal communication with intraembryonic gut. During development proceeds, this communication gets thinner into a tube known as the vitellointestinal duct. Vitellointestinal duct usually becomes obliterated before eighth week of intrauterine life. In about 2% of people this duct persists and gives rise to a group of anomalies such as Meckel’s diverticulum is the commonest and complete patency of the duct is the rarest. Here we present the case of a 34-year-old male who presented with both conditions.