[Radiology in the diagnosis of volvulus caused by mesenteric rotation anomaly].
Thirty-eight children were operated on between 1974 and 1979 at the hôpital Trousseau for a volvulus of the small intestine due to an abnormal mesenteric rotation. These children may be classified into 3 groups: (1) peracute volvulus, most often neonatal, with intestinal necrosis, generally lethal; (2) acute volvulus, also neonatal, with a favorable outcome after treatment; (3) chronic volvulus, which may occur at any age and may be symptomatic or not. They carry a risk of acute complication, with possible intestinal necrosis. Radiology plays a part in the diagnosis of such anomalies of rotation complicated with volvulus. Upper gastrointestinal tract opacification with barium sulfate, showing the abnormal position of the duodenojejunal flexure and a corkscrew appearance allows surgical decision, as in all cases, treatment is surgical. It consists of derotation and setting in complete common mesentery position.
D000208:Acute Disease; D000284:Administration, Oral; D000293:Adolescent; D001466:Barium Sulfate; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D004733:Enema; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology; D007421:Intestine, Small / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D014102:Torsion Abnormality / Q000151:congenital; D014839:Vomiting / Q000209:etiology
D001466:Barium Sulfate
Apport de la radiologie au diagnostic des volvulus par anomalie de rotation mésentérique.