Midgut volvulus in an adult

M Puvaneswary, S Rajaratnam
Australasian Radiology 2003, 47 (1): 83-4
We report a case of duodenal malrotation that presented in adulthood as midgut volvulus. On colour Doppler ultrasound, findings of a clockwise rotation of the superior mesenteric vein around the superior mesenteric artery (whirlpool sign) and a distinctive 'whirl'-like pattern resulting from an encircling of loops of the bowel around the SMA on CT is diagnostic of midgut volvulus.

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