Skip to main content
SpringerLink
Log in

Antenatal diagnosis of intestinal malrotation on fetal MRI

  • Case Report
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

We report a case of intestinal malrotation without any associated GI tract complications diagnosed antenatally by fetal MRI. Antenatal US revealed a midline stomach. Subsequent fetal MRI confirmed the midline stomach and, in addition, revealed all loops of small bowel to the right of the midline and all large bowel to the left. All these features were consistent with intestinal malrotation. There was no abnormal bowel wall thickening, bowel dilatation, ascites or polyhydramnios. To our knowledge, this is a unique case of intestinal malrotation without associated GI tract complications diagnosed antenatally on fetal MRI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Torres AM, Ziegler MM (1993) Malrotation of the intestine. World J Surg 17:326–331

    Article  PubMed  CAS  Google Scholar 

  2. Roberts DJ, Goldstein AM, Graeme-Cook F et al (2007) Gastrointestinal tract and pancreas. In: Gilbert-Barness E, Kapur RP, Oligny LL et al (eds) Potter’s pathology of the fetus, infant and child, 2nd edn. Elsevier, Philadelphia, p 1157

    Google Scholar 

  3. Miyakoshi K, Ishimoto H, Tanigaki S et al (2001) Prenatal diagnosis of midgut volvulus by sonography and magnetic resonance imaging. Am J Perinatol 18:447–450

    Article  PubMed  CAS  Google Scholar 

  4. Veyrac C, Couture A, Saguintaah M et al (2004) MRI of fetal GI tract abnormalities. Abdom Imaging 29:411–420

    Article  PubMed  CAS  Google Scholar 

  5. Filston HC, Kirks DR (1981) Malrotation – the ubiquitous anomaly. J Pediatr Surg 16:614–620

    Article  PubMed  CAS  Google Scholar 

  6. Levin TL, Liebling MS, Ruzal-Shapiro C et al (1995) Midgut malfixation in patients with congenital diaphragmatic hernia: what is the risk of midgut volvulus? Pediatr Radiol 25:259–261

    Article  PubMed  CAS  Google Scholar 

  7. Teele RL, Pease PW, Rowley RS (1998) Malrotation in newborns following antenatal diagnosis of intra-abdominal cyst. Pediatr Radiol 28:717–721

    Article  Google Scholar 

  8. Cassart M, Massez A, Lingier P et al (2006) Sonographic prenatal diagnosis of malpositioned stomach as a feature of uncomplicated intestinal malrotation. Pediatr Radiol 36:358–360

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Seattle Children’s Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA, USA

    Deepa R. Biyyam

  2. Department of Radiology, University of Washington Medical Center, Seattle, WA, USA

    Manjiri Dighe

  3. Department of Laboratories, Seattle Children’s Hospital, Seattle, WA, USA

    Joseph R. Siebert

  4. Department of Pathology, University of Washington, Seattle, WA, USA

    Joseph R. Siebert

Authors
  1. Deepa R. Biyyam
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Manjiri Dighe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Joseph R. Siebert
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Deepa R. Biyyam.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Biyyam, D.R., Dighe, M. & Siebert, J.R. Antenatal diagnosis of intestinal malrotation on fetal MRI. Pediatr Radiol 39, 847–849 (2009). https://doi.org/10.1007/s00247-009-1226-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-009-1226-5

Keywords

Search

Navigation