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KMID : 0367419970400010140
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Journal of Korean Pediatric Society
1997 Volume.40 No. 1 p.140 ~ p.143
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A Case of Intestinal malrotation Complicated by Midgut Volvulus: Diagnosis with Abdominal CT Scan.
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Kim Byung-Ju
Ma Jae-Sook
Hwang Mi-Jeong
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Abstract
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Intestinal malrotation is a constellation of a wide spectrum of embryologic failures of rotation and fixation of the gut, resulting in a narrow-based attachment of the mesentery and the presence of abnormal peritoneal(Ladd’s) band. These
abnormalities predispose to midgut volvulus, intestinal obstruction and internal herniation.
We experienced a case of intestinal malrotation complicated by midgut volvulus in a 4-year-old girl who presented with abdominal pain, abdominal distension and melena. The diagnosis was made by abdominal CT scan, which showed "whirl sign". The diagnosis was confirmed by surgery. A brief review of literature ensues.
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