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[Midgut malrotation. What is involved?]

J C van den Berg1, G Rosenbusch

  • 1Institut für Radiodiagnostik, Universitätskrankenhaus St. Radboud, Niederlande.

Der Radiologe
|June 1, 1993
PubMed
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Midgut malrotation presents with varied radiological findings. A new classification system aids in interpreting these complex symptoms, improving diagnosis for this challenging condition.

Area of Science:

  • Radiology
  • Pediatric Surgery
  • Embryology

Background:

  • Midgut malrotation is a congenital anomaly requiring accurate diagnosis.
  • Radiological findings can be subtle and varied, complicating interpretation.

Purpose of the Study:

  • To catalogue radiological findings in midgut malrotation.
  • To develop a classification system for these findings based on embryological development.

Main Methods:

  • Retrospective review of 56 patients with surgically confirmed midgut malrotation.
  • Analysis of plain abdominal radiography, upper GI series, barium enema, ultrasound, and CT scans.
  • Correlation of imaging findings with surgical outcomes.

Main Results:

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  • Normal findings were observed in a significant proportion of initial plain abdominal radiographs and upper GI series.
  • Abnormalities were prevalent across various imaging modalities, with detailed discussion provided.
  • A complete radiological classification was achieved in 58.9% of patients, with partial classification in 41.1%.

    • Conclusions:

    • Midgut malrotation is a complex condition with diverse clinical presentations.
    • The proposed classification system facilitates the interpretation of radiological findings.
    • Improved diagnostic accuracy can be achieved through standardized interpretation of imaging in midgut malrotation.