Volvulus of the ascending colon in a non-rotated midgut:Plain film and MDCT findings

作     者：Luigi Camera Milena Calabrese Pier Paolo Mainenti Stefania Masone Walter Del Vecchio Giovanni Persico Marco Salvatore 

作者机构：Department of RadiologyUniversity "Federico Ⅱ" Institute of Biostructures and BioimagesNational Research Council(CNR) Department of General and Geriatric SurgeryUniversity "Federico Ⅱ" 

出 版 物：《World Journal of Radiology》 (世界放射学杂志（英文版）（电子版）)

年 卷 期：2012年第4卷第10期

页      面：439-442页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Colonic volvulus Intestinal malrotation Abdominal plain film Multi-detector computed tomography Large bowel obstruction 

摘      要：Colonic volvulus is a relatively uncommon cause of large bowel obstruction usually involving mobile,intraperitoneal,colonic *** or acquired anatomic variation may be associated with an increased risk of colonic volvulus which can occasionally involve retro-peritoneal *** report a case of 54-year-old female who presented to our Institution to perform a plain abdominal film series for acute onset of cramping abdominal *** the upright and supine films showed signs of acute colonic obstruction which was thought to be due to an internal hernia of the transverse colon into the lesser *** patient was therefore submitted to a multi-detector contrast-enhanced computed tomography(CT).CT findings were initially thought to be consistent with the presumed diagnosis of internal hernia but further evaluation and coronal reformatting clearly depicted the presence of a colonic volvulus possibly resulting from a retro-gastric *** surgery,a volvulus of the ascending colon was found and a right hemi-colectomy had to be ***,a non rotated midgut with a right-sided duodeno-jejunal flexure and a left sided colon was also found at laparotomy and over-looked in the pre-operative *** evaluation of CT images was therefore performed and a number of CT signs of intestinal malrotation could be identified.