Malrotation discovered during routine radionuclide gastric emptying study.
In infants with recurrent vomiting, and especially bilious vomiting, the algorithmic approach is to perform conventional barium upper gastrointestinal radiography to rule out malrotation and midgut volvulus, which are surgical emergencies. However, children with protracted vomiting and failure to thrive are candidates for medical treatment. These children are often evaluated by radionuclide gastric emptying studies to assess gastric emptying. Three patients are presented in whom the radionuclide gastric emptying study revealed the presence of a malrotation anomaly which had been undetected by antecedent barium gastrointestinal radiographic studies.
Kovanlikaya
A
A
Division of Nuclear Radiology, Children's Hospital of Los Angeles, University of Southern California, 4650 Sunset Blvd., Los Angeles, CA 90027, USA.
Miller
J H
JH
Williams
H T
HT
D001466:Barium Sulfate; D002675:Child, Preschool; D004386:Duodenum / Q000002:abnormalities / Q000000981:diagnostic imaging; D005183:Failure to Thrive / Q000000981:diagnostic imaging*; D005260:Female; D005746:Gastric Emptying / Q000502:physiology*; D005764:Gastroesophageal Reflux / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D007583:Jejunum / Q000002:abnormalities / Q000000981:diagnostic imaging; D008297:Male; D011877:Radionuclide Imaging; D013270:Stomach / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013671:Technetium Tc 99m Sulfur Colloid
D001466:Barium Sulfate; D013671:Technetium Tc 99m Sulfur Colloid