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[Value of spiral CT in diagnosing infantile intestinal malrotation]

Wu-xing Chen1, Jian-song Ji, Heng Zhang

  • 1Medical College of Lishui University, Lishui, China.

Zhonghua Yi Xue Za Zhi
|July 22, 2010
PubMed

Insights

Spiral CT scanning is valuable for diagnosing infantile intestinal malrotation. This technique accurately identified key signs like the whirlpool sign and abnormal bowel positioning in infants, aiding early detection.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Imaging
  • Surgical Pediatrics

Background:

  • Intestinal malrotation is a congenital anomaly requiring timely diagnosis.
  • Delayed diagnosis can lead to serious complications like midgut volvulus.
  • Accurate imaging is crucial for effective management of infantile intestinal malrotation.

Purpose of the Study:

  • To evaluate the diagnostic efficacy of spiral CT (SCT) for infantile intestinal malrotation.
  • To correlate SCT findings with surgical confirmations.
  • To highlight the role of SCT in early detection.

Main Methods:

  • Retrospective analysis of 23 cases with surgically confirmed infantile intestinal malrotation.
  • Review of spiral CT findings and clinical data.
  • Correlation of imaging features with operative outcomes.

Main Results:

  • Spiral CT successfully diagnosed all 23 cases of infantile intestinal malrotation.
  • Key findings included the whirlpool sign (16/23) and abnormal duodenal/colonic positions (18/23, 23/23).
  • Vascular transposition (superior mesenteric artery/vein) was noted in 13/23 cases.

Conclusions:

  • Spiral CT scanning demonstrates significant value in the early diagnosis of infantile intestinal malrotation.
  • Characteristic CT findings aid in identifying this critical pediatric surgical condition.
  • SCT facilitates prompt surgical intervention, improving patient outcomes.
Abstract

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