Value of spiral CT in diagnosing infantile intestinal malrotation
Chen, W.-x.; Ji, J.-s.; Zhang, H.; Zhu, J.-d.; Qian, L.-j.
Zhonghua Yi Xue Za Zhi 90(15): 1054-1056
2010
ISSN/ISBN: 0376-2491 PMID: 20646527 Document Number: 638372
To discuss the value of spiral CT in diagnosing infantile intestinal malrotation. The spiral CT findings and clinical data of 23 cases of operatively-confirmed infantile intestinal malrotation were retrospectively analyzed. 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). Spiral CT scanning has an important value in the early diagnosis of infantile intestinal malrotation.