Manual epigastric compression during upper gastrointestinal examination of neonates: value in diagnosis of intestinal malrotation and volvulus.
OBJECTIVE
This paper describes the value of manual epigastric compression during upper gastrointestinal examination in establishing the diagnosis of intestinal malrotation and volvulus in five neonates.


CONCLUSIONS
In two patients, the location of the duodenojejunal junction was near normal. Manual compression revealed abnormal mobility of the duodenojejunal junction, indicating malrotation. In three other patients, the duodenum was completely obstructed. Manual compression unequivocally displayed the anatomy of midgut volvulus by allowing contrast material to pass beyond the point of obstruction.
Lim-Dunham
J E
JE
Department of Radiology, The University of Chicago, The University of Chicago Children's Hospital, IL 60637, USA.
Ben-Ami
T
T
Yousefzadeh
D K
DK
D000013:Congenital Abnormalities / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging*; D007422:Intestines / Q000002:abnormalities*; D008297:Male; D011312:Pressure; D011859:Radiography