Lin Lung-Huang
Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan.
Department of Pediatrics, School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.
J Med Ultrasound. 2021 Jun 16;30(1):62-64. doi: 10.4103/JMU.JMU_121_20. eCollection 2022 Jan-Mar.
We report a rare case of midgut malrotation and volvulus with "whirlpool sign" in a new-born infant. The "whirlpool sign" is an imaging characteristic of midgut volvulus and has a high predicting value for volvulus. Malrotation or malrotation with volvulus can be effectively diagnosed based on these characteristics. Ultrasound diagnosis has the advantage of no radiation exposure. Color Doppler documenting the reversal or aberrant superior mesenteric vein/superior mesenteric artery axis is not only predictive but also diagnostic of malrotation of gut. The rapid and accurate diagnosis of volvulus by ultrasound helps to establish the diagnosis of malrotation in time and thus allows for urgent surgical intervention to avoid bowel necrosis.
我们报告了一例罕见的新生儿中肠旋转不良并伴有“漩涡征”的肠扭转病例。“漩涡征”是中肠扭转的影像学特征,对肠扭转具有较高的预测价值。基于这些特征可以有效诊断旋转不良或伴有肠扭转的旋转不良。超声诊断具有无辐射暴露的优势。彩色多普勒显示肠系膜上静脉/肠系膜上动脉轴的反转或异常不仅具有预测性,而且对肠道旋转不良具有诊断意义。超声对肠扭转的快速准确诊断有助于及时确立旋转不良的诊断,从而能够进行紧急手术干预以避免肠坏死。