To cite: Sinha C K, Basson S, Patel R V, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-201110 DESCRIPTION A previously healthy 13-year-old girl presented with abdominal pain for 2 days, initially in the periumbilical area and subsequently in the left upper quadrant. She had a few episodes of green vomiting, but had normal bowel movements. On examina...

Although the color Doppler ultrasonography diagnosis of intestinal malrotation with midgut volvulus, based on the typical "whirlpool" appearance of the mesenteric vascular structures is well-defined in the peer-reviewed literature, the combination of both the angiographic illustration of these findings and the contemporary state-of-the-art imaging techniques is lacking. We report the digital su...

Korean J Radiol 9(5), October 2008 Although the color Doppler ultrasonography diagnosis of intestinal malrotation with midgut volvulus, based on the typical “whirlpool” appearance of the mesenteric vascular structures is well-defined in the peer-reviewed literature, the combination of both the angiographic illustration of these findings and the contemporary state-of-the-art imaging techniques i...

Gastrointestinal duplications can affect any part of the alimentary tract and are notorious for their variable presentation. Their association with malrotation and midgut volvulus is rare. We describe an 8-year old boy presented with episodes of abdominal pain. Radiological workup showed whirlpool sign and abnormal relationship of mesenteric vessels. At operation, malrotation with chronic volvu...

1. Department of Radiology, Medisch Centrum Alkmaar, Alkmaar, The Netherlands, 2. Department of Radiology, 3. Department of Internal Medicine, Diaconessenhuis Leiden, The Netherlands Background: A 47-year-old male patient was referred to the hospital with severe epigastric pain for 2 days, starting after the celebration of Queen’s Day. A chronic intermittent high alcohol intake was suspected. T...

Intestinal malrotation complicated by the development of midgut volvulus presents a difficult management dilemma because of the risk of short bowel syndrome. Here, we present our experience with a case of severe intestinal ischemia after derotation in a newborn successfully managed using systemic tissue plasminogen activator. The present report supports the usefulness of thrombolysis as a thera...