Neonatal malrotation with midgut volvulus mimicking duodenal atresia.
OBJECTIVE
The purpose of this study was to describe the clinical, imaging, and surgical findings in the cases of four neonates with radiographic findings suggesting duodenal atresia (double-bubble sign) who were subsequently found to have malrotation with midgut volvulus.


CONCLUSIONS
When the surgical treatment of a patient with the double-bubble sign is to be delayed, an upper gastrointestinal radiographic or ultrasound study is needed to evaluate for malrotation with midgut volvulus.
Gilbertson-Dahdal
Dorothy L
DL
Department of Pediatric Radiology, University of Arizona Health Sciences Center, 1501 N Campbell Avenue, Tucson, AZ 85724-5067, USA. dgilbertson@radiology.arizona.edu
Dutta
Sanjeev
S
Varich
Laura J
LJ
Barth
Richard A
RA
D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011859:Radiography