Various Imaging Features of Intestinal Malrotation, Associated Anomalies, and Complications

장 회전이상과 동반된 기형 및 합병증의 다양한 영상소견

  • Kim, Seung-Soo (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Young-Tong (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Shin, Hyeong-Cheol (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Sang-Won (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Il-Young (Department of Radiology, Soonchunhyang University Cheonan Hospital)
  • 김승수 (순천향대학교 천안병원 영상의학과) ;
  • 김영통 (순천향대학교 천안병원 영상의학과) ;
  • 신형철 (순천향대학교 천안병원 영상의학과) ;
  • 김상원 (순천향대학교 천안병원 영상의학과) ;
  • 김일영 (순천향대학교 천안병원 영상의학과)
  • Received : 2009.11.21
  • Accepted : 2010.02.03
  • Published : 2010.06.01

Abstract

An abnormal rotation or fixation of the small and large bowel may occur during development, and can result in various forms of intestinal malrotation. Intestinal malrotations are associated with anomalies such as heterotaxy and peritoneal encapsulation, as well as various other complications including midgut volvulus and an internal hernia. Gastrointestinal disorders occurring in patients with intestinal malrotation are difficult to diagnose because of the atypical symptoms and imaging features. We illustrate the various imaging features of intestinal malrotation, associated anomalies, and complications.

태생기 발생 과정에서 소장이나 대장의 회전이나 고정이 잘못되면 다양한 형태의 장 회전이상이 발생하며, 장 회전이상은 내장역위(heterotaxy)나 복막피막화(peritoneal encapsulation)와 같은 다른 기형과 동반될 수 있고 중장염전, 내헤르니아 등의 다양한 합병증을 일으킨다. 또한, 장 회전이상이 있는 환자에서 소화기계에 질병이 발생하게 되면 임상증상이나 영상소견이 비특이적이기 때문에 진단이 어려울 수 있다. 저자들은 장 회전이상과 그에 동반된 선천성 기형, 그리고 합병증들의 다양한 영상소견을 보고하고자 한다.

Keywords

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