Pediatric Radiology

, Volume 36, Issue 4, pp 352–354 | Cite as

Monozygotic twins with discordant intestinal rotation

  • Vance L. Smith
  • Frederick Long
  • Benedict C. NwomehEmail author
Case Report


Previous case reports have suggested a strong concordance of intestinal malrotation among identical twins. This has led to the recommendation that the asymptomatic twin undergo screening when malrotation is discovered in the identical sibling. We present a case of monozygotic twins in which one twin presented with intestinal malrotation with midgut volvulus while the other twin was found to have normal gastrointestinal anatomy.


Intestinal malrotation Midgut Monozygotic twins Volvulus 


  1. 1.
    Kikuchi S, Akuzawa K, Otaki T, et al (1977) A simultaneous occurrence of malrotation in twin newborns. Fukushima J Med Sci 24:63–66PubMedGoogle Scholar
  2. 2.
    Crowley JJ, Bawle E (1996) Small bowel malrotation in each of a pair of identical twins. Pediatr Radiol 26:127–128PubMedCrossRefGoogle Scholar
  3. 3.
    Burton EM, Strange ME, Pitts RM (1993) Malrotation in twins: a rare occurrence. Pediatr Radiol 23:603–604PubMedCrossRefGoogle Scholar
  4. 4.
    Olson LM, Flom LS, Kierney CM, et al (1987) Identical twins with malrotation and type IV jejunal atresia. J Pediatr Surg 22:1015–1016PubMedCrossRefGoogle Scholar
  5. 5.
    Stalker HJ, Chitayat D (1992) Familial intestinal malrotation with midgut volvulus and facial anomalies: a disorder involving a gene controlling the normal gut rotation? Am J Med Genet 44:46–47PubMedCrossRefGoogle Scholar
  6. 6.
    Carmi R, Abeliovich D, Siplovich L, et al (1981) Familial midgut anomalies—a spectrum of defects due to the same cause? Am J Med Genet 8:443–446PubMedCrossRefGoogle Scholar
  7. 7.
    Smith SL (1972) Familial midgut volvulus. Surgery 72:420–426PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Vance L. Smith
    • 1
  • Frederick Long
    • 2
  • Benedict C. Nwomeh
    • 1
    Email author
  1. 1.Department of Pediatric Surgery, Columbus Children’s HospitalThe Ohio State University College of Medicine & Public HealthColumbusUSA
  2. 2.Department of Radiology, Columbus Children’s HospitalThe Ohio State University College of Medicine & Public HealthColumbusUSA

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