intestinale Malrotation ohne Volvulus

Infant with

heterotaxy syndrome and complex congenital heart disease and bilious vomiting. AP image from an upper GI shows the ligament of Treitz to be in the right upper quadrant. There is no evidence of duodenal obstruction. The proximal jejunum is also in the right upper quadrant. There is also gastroesophageal reflux.The diagnosis was malrotation without midgut volvulus in a patient with heterotaxy syndrome.

School ager

with heterotaxy syndrome and asplenia and bilious vomiting. CXR AP (above) shows the cardiac apex to be in the right hemithorax and the gastric bubble to be in the left upper quadrant. AP image from an upper GI (below) shows the ligament of Treitz to be in the right upper quadrant. There is no evidence of duodenal obstruction. The proximal jejunum is also in the right upper quadrant.The diagnosis was malrotation without midgut volvulus in a patient with heterotaxy syndrome.

Newborn with

non-bilious vomiting. Delayed AP image from an upper GI shows the ligament of Treitz to be over the right pedicle of the L2 verteral body and all of the jejunum to be on the right side of the abdomen.The diagnosis was malrotation without midgut volvulus.

School ager

who fell out of a tree and has abdominal pain. Axial CT with contrast of the abdomen shows the unopacified small bowel on the right side of the abdomen and the colon on the left side of the abdomen.The diagnosis was malrotation without midgut volvulus.