Aidlen Jeremy, Anupindi Sudha A, Jaramillo Diego, Doody Daniel P
Department of Surgery, University of Massachusetts Medical Center, Worchester, MA, USA.
Pediatr Radiol. 2005 May;35(5):529-31. doi: 10.1007/s00247-004-1355-9. Epub 2004 Nov 5.
Midgut volvulus, the most common serious complication of malrotation, can be diagnosed using conventional contrast fluoroscopy, US or CT. CT is a quick and comprehensive examination in the evaluation of complex acute abdominal pathology in children. Contrast-enhanced CT can readily help the radiologist recognize perfusion abnormalities of the bowel, which is vital for reducing morbidity and mortality in affected children. Our case emphasizes and demonstrates additional CT features of bowel infarction in a child with a proven malrotation with midgut volvulus.
中肠扭转是旋转不良最常见的严重并发症,可通过传统的对比荧光透视检查、超声或CT进行诊断。CT是评估儿童复杂急性腹部病变的快速且全面的检查方法。增强CT能够帮助放射科医生轻松识别肠管灌注异常,这对于降低患病儿童的发病率和死亡率至关重要。我们的病例强调并展示了一名经证实存在中肠扭转的旋转不良患儿肠梗死的其他CT特征。