Contrast enema depiction of small-bowel volvulus in complicated neonatal bowel obstruction

Oscar M. Navarro, Alan Daneman, Stephen Miller

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

About one-half of patients with meconium ileus (MI) present with a complication such as volvulus, atresia, meconium peritonitis or giant cystic meconium peritonitis. The treatment of these complications requires surgery. However, the preoperative diagnosis of complicated MI is difficult. We describe two neonates with complicated small-bowel obstruction, one with MI related to cystic fibrosis and the other not related to cystic fibrosis. In both, contrast enema depicted a spiral appearance of the distal small bowel, which at surgery proved to be the result of volvulus associated with antenatal bowel perforation. This appearance of the small bowel on contrast enema in this clinical setting has not been previously described. The recognition of this spiral appearance of the distal small bowel suggests the need for surgery.

Original languageEnglish (US)
Pages (from-to)1020-1023
Number of pages4
JournalPediatric radiology
Volume34
Issue number12
DOIs
StatePublished - Dec 1 2004

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Intestinal Volvulus
Meconium
Enema
Ileus
Peritonitis
Cystic Fibrosis
Newborn Infant

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

Cite this

Contrast enema depiction of small-bowel volvulus in complicated neonatal bowel obstruction. / Navarro, Oscar M.; Daneman, Alan; Miller, Stephen.

In: Pediatric radiology, Vol. 34, No. 12, 01.12.2004, p. 1020-1023.

Research output: Contribution to journalArticle

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