Midgut malfixation in patients with congenital diaphragmatic hernia: what is the risk of midgut volvulus?
Twenty-four patients with repaired diaphragmatic hernia had upper gastrointestinal series to assess the rotation and fixation of the bowel. A spectrum of rotational abnormalities was present in almost all patients, although those with repaired right-sided hernias demonstrated a more obvious anomaly of rotation than those with repaired left-sided hernias. No patient developed a midgut volvulus despite the presence of malfixation. Postoperative adhesions likely limit the occurrence of volvulus.
Levin
T L
TL
Department of Pediatric Radiology, Columbia-Presbyterian Medical Center, Babies and Children's Hospital, New York, NY 10032, USA.
Liebling
M S
MS
Ruzal-Shapiro
C
C
Berdon
W E
WE
Stolar
C J
CJ
D006548:Hernia, Diaphragmatic / Q000150:complications; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D007415:Intestinal Obstruction / Q000209:etiology; D007422:Intestines / Q000002:abnormalities*; D012307:Risk Factors