Malrotation: Current strategies navigating the radiologic diagnosis of a surgical emergency

The most accurate and practical imaging algorithm for the diagnosis of intestinal malrotation can be a complex and sometimes controversial topic.Since 1900,sig-nificant advances have been made in the radiographic assessment of infants and children suspected to have anomalies of intestinal rotation.W...

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Bibliographic Details
Published inWorld journal of radiology Vol. 6; no. 9; pp. 730 - 736
Main Authors Tackett, John J, Muise, Eleanor D, Cowles, Robert A
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 28.09.2014
Subjects
Heterotaxy
Infant
Ladd
Malrotation
Midgut
Minireviews
Treitz
volvulus
Ladd
Heterotaxy
Infant
Midgut volvulus
Malrotation
Treitz
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Summary:The most accurate and practical imaging algorithm for the diagnosis of intestinal malrotation can be a complex and sometimes controversial topic.Since 1900,sig-nificant advances have been made in the radiographic assessment of infants and children suspected to have anomalies of intestinal rotation.We describe the cur-rent methods of abdominal imaging of malrotation along with their pros and cons.When associated with volvulus,malrotation is a true surgical emergency re-quiring rapid diagnosis and treatment.We emphasize the importance of close cooperation and communica-tion between radiology and surgery to perform an effective and efficient diagnostic evaluation allowing prompt surgical decision making.
Bibliography:John J Tackett;Eleanor D Muise;Robert A Cowles;Section of Pediatric Surgery,Department of Surgery,Yale University School of Medicine
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Telephone: +1-203-7852701 Fax: +1-203-7853820
Correspondence to: Robert A Cowles, MD, Associate Professor of Surgery, Section of Pediatric Surgery, Department of Surgery, Yale University School of Medicine, Box 208062, New Haven, CT 06520, United States. robert.cowles@yale.edu
Author contributions: Tackett JJ, Muise ED and Cowles RA contributed to this work and wrote the paper.
ISSN:1949-8470
1949-8470
DOI:10.4329/wjr.v6.i9.730