Contrast enema depiction of small-bowel volvulus in complicated neonatal bowel obstruction.

Abstract:

:About one-half of patients with meconium ileus (MI) present with a complication such as volvulus, atresia, meconium peritonitis or giant cystic meconium peritonitis. The treatment of these complications requires surgery. However, the preoperative diagnosis of complicated MI is difficult. We describe two neonates with complicated small-bowel obstruction, one with MI related to cystic fibrosis and the other not related to cystic fibrosis. In both, contrast enema depicted a spiral appearance of the distal small bowel, which at surgery proved to be the result of volvulus associated with antenatal bowel perforation. This appearance of the small bowel on contrast enema in this clinical setting has not been previously described. The recognition of this spiral appearance of the distal small bowel suggests the need for surgery.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Navarro OM,Daneman A,Miller SF

doi

10.1007/s00247-004-1294-5

keywords:

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1020-3

issue

12

eissn

0301-0449

issn

1432-1998

journal_volume

34

pub_type

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