CT appearance of midgut volvulus with malrotation in a young infant

Area of Science:

• Pediatric Radiology
• Abdominal Imaging
• Surgical Anatomy

Background:

• Small bowel malrotation and midgut volvulus (MGV) are critical congenital anomalies requiring prompt diagnosis.
• Imaging plays a pivotal role in identifying these conditions in neonates and infants.
• Limited published data exists on computed tomography (CT) findings in pediatric small bowel malrotation and MGV.

Observation:

• The study presents a surgically confirmed case of small bowel malrotation and MGV in a young infant.
• Spiral CT scans were utilized to visualize the anatomical abnormalities.
• The case highlights the utility of CT in diagnosing these challenging pediatric conditions.

Findings:

• Computed tomography (CT) provides detailed anatomical visualization of small bowel malrotation and midgut volvulus (MGV).
• The study reviews existing literature on various imaging modalities for diagnosing these conditions.
• Radiation doses associated with upper gastrointestinal series (UGI) and spiral CT are estimated and compared.

Implications:

• CT imaging offers a valuable diagnostic tool for pediatric small bowel malrotation and midgut volvulus (MGV).
• Understanding and comparing radiation doses is crucial for optimizing imaging protocols in infants.
• This work contributes to the literature on advanced imaging techniques for congenital gastrointestinal anomalies.