User menu

Accès à distance ? S'identifier sur le proxy UCLouvain

Sonographic assessment of the retroperitoneal position of the third portion of the duodenum: an indicator of normal intestinal rotation.

Primary tabs

Menten, Renaud [UCL] Reding, Raymond [UCL] Godding, Véronique [UCL] Dumitriu, Dana Ioana [UCL] Clapuyt, Philippe [UCL]

The diagnosis of intestinal malrotation is based on an upper gastrointestinal contrast series (UGI), which is considered the imaging reference standard. It may however be challenging even for experienced paediatric radiologists. The purpose of this study was to demonstrate the agreement between UGI and US in assessing the position of the third portion of the duodenum (D3) and to show that a retroperitoneal duodenum indicates normal forgut rotation. In a prospective study, US assessment of the duodenum and the superior mesenteric vessels was performed in consecutive children who were referred for clinically indicated UGI at a single institution. Eighty-five children, 5 months to 14 years old, were studied. In 82/85 (96%), both US and UGI suggested normal forgut rotation. In three children, US demonstrated a normal position of the D3 whereas UGI showed an abnormal position of the duodeno-jejunal junction. US is a non-invasive, easily performed technique for excluding malrotation. UGI may be reserved for situations where US does not demonstrate a normal position of the D3.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2012
Language Anglais
Journal information "Pediatric Radiology : roentgenology, nuclear medicine, ultrasonics, CT, MRI" - Vol. 42, no. 8, p. 941-945 (2012)
Peer reviewed yes
Publisher Springer ((Germany) Heidelberg)
issn 0301-0449
e-issn 1432-1998
Publication status Publié
Affiliations UCL - SSS/IREC/IMAG - Pôle d'imagerie médicale
UCL - SSS/IREC/CHEX - Pôle de chirgurgie expérimentale et transplantation
UCL - (SLuc) Service de radiologie
UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - (SLuc) Service de pneumologie
UCL - (SLuc) Service de pédiatrie spécialisée
UCL - (SLuc) Centre de malformations vasculaires congénitales
UCL - (SLuc) Centre de pathologie anorectale de l'enfant
UCL - (SLuc) Service de cardiologie
Keywords Forgut malrotation ; Duodenum ; US
Links
  1. Yousefzadeh David K., Soper Robert T., Jackson Joseph H., Diagnostic advantages of manual compression fluoroscopy in the radiologic work-up of vomiting neonates, 10.1016/s0022-3468(80)80135-7
  2. Katz ME, Siegel MJ, Shackelford GD, McAlister WH, The position and mobility of the duodenum in children, 10.2214/ajr.148.5.947
  3. Loyer E., Dunne Eggli K., Sonographic evaluation of superior mesenteric vascular relationship in malrotation, 10.1007/bf02388650
  4. Dufour D., Delaet M. H., Dassonville M., Cadranel S., Perlmutter N., Midgut malrotation, the reliability of sonographic diagnosis, 10.1007/bf02011604
  5. Millar A.J.W., Rode H., Brown R.A., Cywes S., The deadly vomit: malrotation and midgut volvulus : A review of 137 cases, 10.1007/bf00185145
  6. Rescorla FJ, Shedd FJ, Grosfeld JL et al (1990) Anomalies of intestinal rotation in childhood: analysis of 447 cases. Surgery 108:710–715
  7. Long F R, Kramer S S, Markowitz R I, Taylor G E, Liacouras C A, Intestinal malrotation in children: tutorial on radiographic diagnosis in difficult cases., 10.1148/radiology.198.3.8628870
  8. Dilley A. V., Pereira J., Shi E. C. P., Adams S., Kern I. B., Currie B., Henry G. M., The radiologist says malrotation: does the surgeon operate?, 10.1007/s003830050012
  9. Ashley L. M., Allen Scott, Teele Rita L., A normal sonogram does not exclude malrotation, 10.1007/s002470100434
  10. Strouse Peter J., Disorders of intestinal rotation and fixation (?malrotation?), 10.1007/s00247-004-1279-4
  11. Applegate Kimberly E., Anderson James M., Klatte Eugene C., Intestinal Malrotation in Children: A Problem-solving Approach to the Upper Gastrointestinal Series, 10.1148/rg.265055167
  12. Orzech Neil, Navarro Oscar M., Langer Jacob C., Is ultrasonography a good screening test for intestinal malrotation?, 10.1016/j.jpedsurg.2005.12.070
  13. Daneman Alan, Malrotation: the balance of evidence, 10.1007/s00247-009-1152-6
  14. Pracros J. P., Sann L., Genin G., Tran-Minh V. A., Morin de Finfe C. H., Foray P., Louis D., Ultrasound diagnosis of midgut volvulus: the “whirlpool” sign, 10.1007/bf02011603
  15. Shimanuki Y, Aihara T, Takano H, Moritani T, Oguma E, Kuroki H, Shibata A, Nozawa K, Ohkawara K, Hirata A, Imaizumi S, Clockwise whirlpool sign at color Doppler US: an objective and definite sign of midgut volvulus., 10.1148/radiology.199.1.8633156
  16. Yousefzadeh David K., The position of the duodenojejunal junction: the wrong horse to bet on in diagnosing or excluding malrotation, 10.1007/s00247-008-1116-2
  17. Yousefzadeh David K., Kang Lisa, Tessicini Laura, Assessment of retromesenteric position of the third portion of the duodenum: an US feasibility study in 33 newborns, 10.1007/s00247-010-1709-4
  18. Applegate Kimberly E., Evidence-based diagnosis of malrotation and volvulus, 10.1007/s00247-009-1177-x
  19. Taylor George A., CT appearance of the duodenum and mesenteric vessels in children with normal and abnormal bowel rotation, 10.1007/s00247-011-2118-z
  20. Yousefzadeh David K., Regarding online publication of ‘CT appearance of the duodenum and mesenteric vessels in children with normal and abnormal bowel rotation’, 10.1007/s00247-011-2233-x
Bibliographic reference Menten, Renaud ; Reding, Raymond ; Godding, Véronique ; Dumitriu, Dana Ioana ; Clapuyt, Philippe. Sonographic assessment of the retroperitoneal position of the third portion of the duodenum: an indicator of normal intestinal rotation.. In: Pediatric Radiology : roentgenology, nuclear medicine, ultrasonics, CT, MRI, Vol. 42, no. 8, p. 941-945 (2012)
Permanent URL http://hdl.handle.net/2078.1/114262