Pediatric Radiology

, Volume 22, Issue 1, pp 18–20 | Cite as

Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign

  • J. P. Pracros
  • L. Sann
  • G. Genin
  • V. A. Tran-Minh
  • C. H. Morin de Finfe
  • P. Foray
  • D. Louis
Selected Papers from the IPR Meeting in Stockholm, Sweden, 27–31 May 1991


The authors present their US findings in 24 patients with proved complicated midgut malrotation: volvulus in 18 and occlusive Ladd's bands in 6. All the 24 patients have had US examination prior to surgery. Contrast examinations were performed in only 9 patients, always after US and before surgery. The sonographic “whirlpool’ pattern of the superior mesenteric vein and mesentery around the superior mesenteric artery was detected in 15 of the 18 patients with midgut volvulus, and was best seen using Doppler color. Embryological signification of midgut malrotation is discussed.


Public Health Color Mesenteric Artery Superior Mesenteric Artery Superior Mesenteric Vein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Spigland N, Brandt ML, Yazbeck S (1990) Malrotation presenting beyond the neonatal period. J Pediatr Surg 25: 1139PubMedGoogle Scholar
  2. 2.
    Bill AH (1979) Malrotation of the intestine. In: Ravitch MM (ed) Pediatric surgery, 3rd edn, Vol 2. Year Book Medical Publishers, pp 912–923Google Scholar
  3. 3.
    Berdon WE, Baker DH, Bull S, Santulli TV (1970) Midgut malrotation and volvulus: which films are the most helpful? Radiology 96: 375PubMedGoogle Scholar
  4. 4.
    Simpson AJ, Leonidas JC, Krasna IH, Becker JM, Schneider KM (1972) Roentgen diagnosis of midgut malrotation: value of upper gastrointestinal radiographic study. J Pediatr Surg 7: 243PubMedGoogle Scholar
  5. 5.
    Pracros JP, Basset T, Morin de Finfe CH, Louis D, Tran Minh VA (1988) Aspects échographiques dans les volvulus du grêle sur malrotation chez le nouveau-né. Pédiatrie 43: 525Google Scholar
  6. 6.
    Gaines PA, Saunders AJS, Drake D (1987) Midgut malrotation diagnosed by ultrasound. Clin Radiol 38: 51PubMedGoogle Scholar
  7. 7.
    Loyer E, Dunne Eggli K (1989) Sonographic evaluation of superior mesenteric vascular relationship in malrotation. AJR 143: 9Google Scholar
  8. 8.
    Nichols DM, Li DK (1983) Superior mesenteric vein rotation: a CT sign of midgut malrotation. AJR 141: 707PubMedGoogle Scholar
  9. 9.
    Mori H, Hayashi K, Futagawa S, Vetani M, Kurosaki N, Yanagi T (1987) Vascular compromise in chronic volvulus with midgut malrotation. Pediatr Radiol 17: 277PubMedGoogle Scholar
  10. 10.
    Zerin JM, Dipietro MA (1991) Mesenteric vascular anatomy at CT: normal and abnormal appearances. Radiology 179: 739PubMedGoogle Scholar
  11. 11.
    Hayden CK, Boulden TF, Swischuk LE, Lobe TE (1984) Sonographic diagnosis of duodenal obstruction with midgut volvulus. AJR 143: 9PubMedGoogle Scholar
  12. 12.
    Leonidas JC, Magid N, Soberman N, Glass TS (1991) Midgut volvulus in infants: diagnosis with US. Radiology 179: 491PubMedGoogle Scholar
  13. 13.
    Bremer JL (1957) Congenital anomalies of the viscera: their embryological basis. Havard University Press, CambridgeGoogle Scholar
  14. 14.
    Gray S, Skandalakis J (1972) Embryology for surgeons: the embryological basis for the treatment of congenital defects. Saunders, PhiladelphiaGoogle Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • J. P. Pracros
    • 1
  • L. Sann
    • 2
  • G. Genin
    • 1
  • V. A. Tran-Minh
    • 1
  • C. H. Morin de Finfe
    • 1
  • P. Foray
    • 1
  • D. Louis
    • 3
  1. 1.Department of Pediatric RadiologyHôpital DebrousseLyon cedex O5France
  2. 2.Department of NeonatologyHôpital DebrousseLyon cedex O5France
  3. 3.Department of Pediatric SurgeryHôpital DebrousseLyon cedex O5France

Personalised recommendations