A novel plain abdominal radiograph sign to diagnose malrotation with volvulus

Authors

  • Ram Mark Nataraja
  • Anies A Mahomed

DOI:

https://doi.org/10.3941/jrcr.v4i5.386

Keywords:

Malrotation, volvulus, abdominal radiograph

Abstract

Malrotation with associated volvulus is a potentially lethal event for a neonate. The gold standard for diagnosis is an upper gastrointestinal contrast study. However this can delay the diagnosis and the timing of surgical intervention. We present a novel abdominal radiographic sign; duodenal and gastric dilatation occurring in association with limited small bowel gas confined to the right lower quadrant of abdomen and the total absence of colonic air that is indicative of malrotation with associated volvulus. This allows for an earlier diagnosis and expeditious surgery.

Author Biographies

Ram Mark Nataraja

Department of Paediatric Surgery

Paediatric Surgical SpR

Anies A Mahomed

Department of Paediatric Surgery

Consultant Paediatric Surgeon

 

Published

2010-05-02

Issue

Section

Pediatric Radiology