Journal
PEDIATRIC RADIOLOGY
Volume 35, Issue 11, Pages 1125-1127Publisher
SPRINGER
DOI: 10.1007/s00247-005-1517-4
Keywords
malrotation; midgut volvulus; barber-pole sign; CT; variance
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We report on a 10-year-old girl who presented with worsening pain and anorexia after blunt trauma to the abdomen. Contrast-enhanced CT of the abdomen was performed, and a counterclockwise rotation of the superior mesenteric vein around the superior mesenteric artery was seen. An upper gastrointestinal (UGI) series with small-bowel follow-through demonstrated a normally located duodenal-jejunal junction. This is the first case report of a counterclockwise barber-pole sign seen by CT with UGI that was negative for malrotation or volvulus.
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