Midgut Volvulus of Infant Simulating Intussusception Diagnosis with Color Doppler Ultrasonography

장중첩증의 임상양상을 보였던 영아의 중장 염전증(Midgut volvulus) 1례 -복부 초음파검사를 이용한 진단-

  • Lee, Hae-Kyoung (Department of Pediatrics, Hallym University College of Medicine) ;
  • Kim, Je-Woo (Department of Pediatrics, Hallym University College of Medicine) ;
  • Oh, Phil-Soo (Department of Pediatrics, Hallym University College of Medicine) ;
  • Lee, Young-Ah (Department of Pediatrics, Hallym University College of Medicine) ;
  • Choi, Ha-Joo (Department of Pediatrics, Hallym University College of Medicine) ;
  • Yun, Hea-Sun (Department of Pediatrics, Hallym University College of Medicine) ;
  • Yang, Ik (Department of Radiology, Hallym University College of Medicine) ;
  • Lee, Kyung-Won (Department of Radiology, Hallym University College of Medicine) ;
  • Lee, Jae-Jung (Department of General Surgery, Hallym University College of Medicine)
  • 이해경 (한림대학교 의과대학 소아과학교실) ;
  • 김제우 (한림대학교 의과대학 소아과학교실) ;
  • 오필수 (한림대학교 의과대학 소아과학교실) ;
  • 이영아 (한림대학교 의과대학 소아과학교실) ;
  • 최하주 (한림대학교 의과대학 소아과학교실) ;
  • 윤혜선 (한림대학교 의과대학 소아과학교실) ;
  • 양익 (한림대학교 의과대학 방사선과학교실) ;
  • 이경원 (한림대학교 의과대학 방사선과학교실) ;
  • 이재정 (한림대학교 의과대학 일반외과학교실)
  • Received : 1998.07.15
  • Accepted : 1998.09.08
  • Published : 1998.09.30

Abstract

Although midgut volvulus is clinically characterized by bilous vomiting and abdominal distention, plain abdominal X-ray is usually non-specific and therefore it can be misdiagnosed to other diseases. Upper gastrointestinal contrast study and computed tomography have been used as a routine diagnostic tool but it takes cost and time. Abdominal ultrasonography is a relatively good alternatives in diagnosing midgut volvulus and it relatively saves cost and time. But case presentation of midgut volvulus diagnosed with abdominal ultrasonography are rarely found in literature. We experienced a 6 month old girl who had come to our hospital with bilous vomiting and was diagnosed as midgut volvulus with ultrasonography. Thus we report this case with the presentation of typical ultrasonographic findings of midgut volvulus.

Keywords