Intestinal malrotation is a congenital anatomical anomaly that results from an abnormal rotation of the gut as it returns to the abdominal cavity during embryogenesis. Although some individuals live their entire life with malrotated bowel without symptoms, the abnormality does predispose to midgut volvulus and internal hernias , with the potential for life-threatening complications. Intestinal malrotation is a congenital abnormality seen in up to live births 5. In the infant, the most common presentation is with a midgut volvulus. In the older child or even adult presentation is more frequently intermittent with episodes of spontaneously resolving duodenal obstruction. This is thought to be due to kinking of the duodenum by Ladd bands rather than a volvulus 5.

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ISSN: Previous article Next article. Issue 5. Pages September Hospital Universitario La Paz. This item has received. Article information. A El tubo digestivo en el desarrollo fetal comienza siendo un tubo corto y recto con tres partes: el intestino proximal, el medio y el distal.

Modificado de la referencia C: ciego; T: ligamento de Treitz.. Modificado de la referencia 3. Show more Show less. Palabras clave:. Intestino delgado. Intestinal malrotation with its propensity to volvulus represents a diagnostic challenge in pediatric patients. Early diagnosis is of extreme importance for achieving a good outcome. This article reviews and illustrates the radiologic findings for malrotation and volvulus of the small bowel in childhood and adolescence.

The embryology, clinical presentation, radiologic management, and evolution of this process are discussed. The diagnosis of malrotation and volvulus should be considered whenever a nursing baby or child presents with vomiting and abdominal pain, especially if the vomit is bilious.

A barium follow-through usually provides the diagnosis. Ultrasound is very useful, although it cannot safely rule out the diagnosis. However, the "whirlpool sign" is a highly sensitive sign for the diagnosis of small bowel volvulus. The radiologist needs to bear in mind that this complication can occur at any age.. Subscriber If you already have your login data, please click here.

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Malrotación intestinal en adultos: causa infrecuente de abdomen agudo oclusivo

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Madrid: Elsevier; Stockmann PT. Principles and Practice of Pediatric Surgery. New York: Lippincott Williams and Wilkins;


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