Ultrasonographic Diagnosis of XXXX With Malrotation in @entity1 : 7-Years Single Center Experience.

@entity1 @entity20943 @entity3313 @entity391 @entity51 @entity1518 @entity490 @entity6029
OBJECTIVES:: Midgut @entity3313 with @entity1518 is typical in newborns. We present our experience to underline the importance of suspecting @entity20943 as cause of @entity490 also beyond infancy, particularly in relationship with @entity1518 , and the relevance of ultrasonographic (US) signs in its diagnosis. MATERIALS AND METHODS:: 34 @entity1 (10M, 24 F; aged between 1 day and 12 years) diagnosed with @entity1518 or @entity1518 with @entity3313 , surgically confirmed, over a period between 2006 and 2013 were retrospectively selected among all @entity1 referred to our institution for acute @entity391 . They all underwent US and color Doppler examination before surgery. The US examinations were performed with 6-10 Mhz microconvex and 7.5-10 Mhz linear transducer. The transducer was placed under xiphoid and, with axial projection, it was evaluated the presence of anatomical position reversed between superior mesenteric vein (SMV) and @entity6029 ( @entity6029 ) as sign of @entity1518 , and the presence of "Whirpool Sign" ( @entity51 ) (wrapping of the SMV and the mesentery around the @entity6029 ), as sign of @entity20943 were evaluated. RESULTS:: In 27 of these 34 @entity1 , @entity20943 was present; 7 @entity1 had @entity1518 . In 2/7 (28%) @entity1 with @entity1518 @entity6029 and SMV were inverted. Among the @entity1 with @entity3313 , 2 showed reversed vessels position and 22 @entity1 presented the Whirlpool sign in association with @entity6029 /SMV inversion (22/27, 81%). CONCLUSIONS:: Midgut @entity3313 with @entity1518 can appear beyond the neonatal age group as demonstrated in our case. The @entity51 sign is sufficiently sensitive for its diagnosis and should be routinely researched at all ages of pediatric population. Anatomic inversion between SMV and @entity6029 seems to be not enough sensitive in @entity1518 diagnosis.
