The primary presenting sign of malrotation in infants is the sudden onset of bilious emesis, especially in the setting of volvulus.
In older children, symptoms of malrotation are varia...
Any child who presents with bilious emesis and an acute abdomen may require emergent surgical exploration; the concern for midgut volvulus is paramount, and delays for furthe...
Prognosis depends on extent of involvement and degree of bowel ischemia.
Most of these children develop a profound ileus and require total parent...
Aboagye J, Goldstein SD, Salazar JH, et al. Age at presentation of common pediatric surgical conditions: reexamining dogma. J Pediatr Surg. 2014;49(6):995–999. [View Abstract ...
560.2 Volvulus
537.89 Other specified disorders of stomach and duodenum
751.5 Other anomalies of intestine
K56.2 Volvulus
K31.89 Other diseases of stomach and duodenum
Q43.8 Other specified ...
Q: When should workup for volvulus be initiated?
A: In any child with bilious emesis
Q: What is the best diagnostic study to confirm the diagnosis?
A: Limited upper GI to evaluate the duodenal sweep ...
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Volvulus of sigmoid colon. In the upper image the unattached loop of bowel twists causing the bowel lumen to become obstructed (bottom image) leading to the inability of stool to pass and compression of the blood supply to the looped bowel segment.
Volvulus of sigmoid colon. In the upper image the unattached loop of bowel twists causing the bowel lumen to become obstructed (bottom ima...
<bold><italic>Figure 15-17</bold> Volvulus with infarction of small bowel.</bold> The intestine in this child twisted on its vascular pedicle and occluded the superior mesenteric artery which infarcted the entire small bowel. Reprinted with permission from Rubin E. Pathology. 4th ed. Philadelphia. Lippincott Williams and Wilkins 2005.
<bold><italic>Figure 15-17</bold> Volvulus with infarction of small bowel.</bold> The intestine in this child twis...
Volvulus of sigmoid colon. The unattached loop of bowel twists (left), causing the bowel lumen to become obstructed (right), which leads to the inability of stool to pass and compression of the blood supply to the looped bowel segment.
Volvulus of sigmoid colon. The unattached loop of bowel twists (left), causing the bowel lumen to become obstructed (right), which leads ...
FIGURE 12-8. Intestinal obstruction. (A) Intussusception. (B) Volvulus, showing counterclockwise twist.