Disorders of intestinal rotation and fixation ("malrotation")

Pediatr Radiol. 2004 Nov;34(11):837-51. doi: 10.1007/s00247-004-1279-4. Epub 2004 Sep 4.


Malrotation with volvulus is one of the true surgical emergencies of childhood. Prompt radiological diagnosis is often paramount to achieving a good outcome. An understanding of the normal and anomalous development of the midgut provides a basis for understanding the pathophysiology and the clinical presentation of malrotation and malrotation complicated by volvulus. In this essay, the radiologic findings of malrotation and volvulus are reviewed and illustrated with particular attention to the child with equivocal imaging findings.

Publication types

  • Review

MeSH terms

  • Duodenum / diagnostic imaging
  • Humans
  • Infant
  • Infant, Newborn
  • Intestinal Volvulus / congenital
  • Intestinal Volvulus / diagnosis*
  • Intestinal Volvulus / diagnostic imaging
  • Intestinal Volvulus / embryology
  • Intestines / diagnostic imaging
  • Intestines / embryology
  • Jejunum / diagnostic imaging
  • Magnetic Resonance Imaging
  • Prenatal Diagnosis
  • Radiography