[Value of spiral CT in diagnosing infantile intestinal malrotation]

Wu-xing Chen, Jian-song Ji, Heng Zhang, Jing-de Zhu, Li-jun Qian
Zhonghua Yi Xue za Zhi [Chinese medical journal] 2010 April 20, 90 (15): 1054-6

OBJECTIVE: To discuss the value of spiral CT in diagnosing infantile intestinal malrotation.

METHODS: The spiral CT findings and clinical data of 23 cases of operatively-confirmed infantile intestinal malrotation were retrospectively analyzed.

RESULTS: Twenty-three cases of infantile intestinal malrotation were all diagnosed by SCT and confirmed by surgery. The main findings were as follows: whirlpool or concentric circle sign in mesenteric root with midgut volvulus (n = 16); duodenum assumed as "Z" or olecranon spur sign (n = 18); inverted transposition or vertical arrangement of superior mesenteric artery and vein (n = 13); abnormal sign of ileocecal junction and colon in right lower quadrant (n = 23).

CONCLUSION: Spiral CT scanning has an important value in the early diagnosis of infantile intestinal malrotation.

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