Color Doppler—An effective tool for diagnosing mid

Authors: Bindey Kumar Manish Kumar Prem Kumar Amit Kumar Sinha Utpal Anand Anil Kumar

Publish Date: 2017/01/26

Volume: 36, Issue: 1, Pages: 27-31

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Abstract

Malrotation with midgut volvulus is a common surgical emergency in children A diagnostic tool for malrotation with characteristics ideal in emergency settings such as noninvasiveness and rapidity remains a keenly debated issue among surgeons and radiologists alikeFiftytwo pediatric patients of suspected malrotation with midgut volvulus were studied between 1998 and 2016 All patients underwent plain abdominal Xray and Color Doppler contrast upper gastrointestinal GI studywas done in some patients All cases were operated and diagnosis was confirmed A subset of 60 pediatric patients with nonspecific GI complaints were also examined to see relative position of superior mesenteric vein SMV/superior mesenteric artery SMA in control populationA total of 52 suspected cases of malrotation were admitted from May 1998 to November 2015 43 had inversion of SMA/SMV and nine had SMV anterior of SMA in Color Doppler All 43 cases of inversion of SMA/SMV were cases of malrotation after surgical confirmation while five out of nine cases of SMV anterior to SMA had malrotationThe authors declare that the study was performed in a manner to conform to the Helsinki declaration of 1975 as revised in 2000 and 2008 concerning human and animal rights and the authors followed the policy concerning informed consent as shown on Springercom

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