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World J Radiol. Sep 28, 2014; 6(9): 730-736
Published online Sep 28, 2014. doi: 10.4329/wjr.v6.i9.730
Published online Sep 28, 2014. doi: 10.4329/wjr.v6.i9.730
Malrotation: Current strategies navigating the radiologic diagnosis of a surgical emergency
John J Tackett, Eleanor D Muise, Robert A Cowles, Section of Pediatric Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06520, United States
Author contributions: Tackett JJ, Muise ED and Cowles RA contributed to this work and wrote the paper.
Correspondence to: Robert A Cowles, MD, Associate Professor of Surgery, Section of Pediatric Surgery, Department of Surgery, Yale University School of Medicine, Box 208062, New Haven, CT 06520, United States. robert.cowles@yale.edu
Telephone: +1-203-7852701 Fax: +1-203-7853820
Received: December 31, 2013
Revised: June 20, 2014
Accepted: July 17, 2014
Published online: September 28, 2014
Processing time: 268 Days and 5.5 Hours
Revised: June 20, 2014
Accepted: July 17, 2014
Published online: September 28, 2014
Processing time: 268 Days and 5.5 Hours
Core Tip
Core tip: Malrotation, especially when associated with midgut volvulus, is a surgical emergency that must be astutely recognized, quickly diagnosed, and emergently treated operatively. While the diagnosis depends heavily on clinical acumen and suspicion, radiologic imaging is critical in determining which patients need surgery. Surgeons and radiologists must cooperate and communicate effectively during the radiographic evaluation of a child with malrotation. Additionally, the algorithm for imaging malrotation must be adapted based upon the tools and staff available at any given institution.