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

• 作者: Eleanor D Muise John J Tackett Robert A Cowles
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: MALROTATION MIDGUT VOLVULUS Treitz Ladd HETEROTAXY INFANT
• 年，卷（期）: 2014,（9）
• 页码范围: 730-736
• 页数: 7页
• 分类号: R816

摘要

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.