Acute midgut volvulus is the sudden onset of bilious vomiting

Published on May 27, 2016

 

Sx: 3-day old infant with acute onset of bilious vomiting, partial duodenal obstruction, abnormal position of duodena-jejunal junction, proximal small bowel in the right abdomen, spiral or corkscrew configuration of the distal duodenum and proximal jejunum

Dx: acute midgut volvulus is the sudden onset of bilious vomiting

Lack of blood supply from the superior mesenteric artery led to Intestinal malrotation and volvulus (including the proximal jejunum), leading to ischemia and necrosis of the ileum.

A volvulus is a subtype of malrotation, in which a loop of bowel is twisted about a focal point along the mesentery attached to the intestinal tract, that may result in a bowel obstruction.[1][2]

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