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Year : 2013  |  Volume : 2  |  Issue : 2  |  Page : 82-85

Midgut malrotation with volvulus - a case report

1 Demonstrator of Anatomy, Fakhruddin Ali Ahmed Medical College, Barpeta, Assam, India
2 Postgraduate trainee, Department of Radiology, Gauhati Medical Collage, Guwahati, India
3 DNB trainee, Department of Radiology, B.Borooah Cancer Institute, Gopinath nagar, Guwahati, India
4 Professor & HOD, Department of Anatomy, Gauhati Medical College, Guwahati, India

Correspondence Address:
Pradipta Ray Choudhury
M-28, Pragjyotish Housing Complex, Khanka Masjeet Road, Ghoramara, Bhetapara, Guwahati - 781 02, Assam
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Source of Support: None, Conflict of Interest: None

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Midgut malrotation is a rare anatomic anomaly that complicates the diagnosis and management of acute abdominal pain. It is a congenital anomaly that arises from incomplete rotation or abnormal position of the midgut during embryonic development. A two years old boy was brought with recurrent abdominal pain and vomiting. On ultrasonography, the intestinal malrotation was suspected and thus contrast enhanced computed tomography (CECT) was done. On CECT, abnormal relationship between the superior mesenteric artery (SMA) and superior mesenteric vein (SMV), colon on the left side of the abdominal cavity, ‘Whirlpool sign’ etc., were found. All findings were suggestive of midgut malrotation with volvulus. Detection of uncomplicated malrotation should not be trivialized because such patients might experience a future complication.

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