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Ultrasound for malrotation and volvulus — point

  • Neonatal imaging
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Abstract

Upper gastrointestinal series is considered the gold standard imaging test to evaluate for malrotation and midgut volvulus. US has been explored for this purpose in recent years and has been shown to be a good alternative because of its relatively good accuracy, fast learning curve for sonographers and radiologists, as well as convenience for children, clinical staff and radiologists in the neonatal intensive care unit. In this article we describe our experience and review the evidence supporting the use of emergency US primarily to diagnose midgut volvulus as well as its use as a problem-solving tool for the diagnosis of malrotation. The examination technique, normal and abnormal findings are described, with emphasis on the whirlpool and superior mesenteric artery cutoff signs to diagnose midgut volvulus.

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Authors and Affiliations

  1. Department of Radiology, Phoenix Children’s Hospital, 1919 E. Thomas Road, Phoenix, AZ, 85016, USA

    Mostafa Youssfi & Luis F. Goncalves

  2. Department of Child Health and Radiology, University of Arizona College of Medicine, Phoenix, AZ, USA

    Mostafa Youssfi & Luis F. Goncalves

  3. Department of Radiology, Mayo Clinic, Phoenix, AZ, USA

    Mostafa Youssfi & Luis F. Goncalves

  4. Department of Radiology, Creighton University, Phoenix, AZ, USA

    Mostafa Youssfi & Luis F. Goncalves

Authors
  1. Mostafa Youssfi
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  2. Luis F. Goncalves
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Correspondence to Luis F. Goncalves.

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Youssfi, M., Goncalves, L.F. Ultrasound for malrotation and volvulus — point. Pediatr Radiol 52, 716–722 (2022). https://doi.org/10.1007/s00247-021-05154-0

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  • DOI: https://doi.org/10.1007/s00247-021-05154-0

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