PMC3883270_01
Female baby at 2 h after birth with distended abdomen diagnosed with intrauterine volvulus of terminal ileum without malrotation. X-ray of abdomen shows distended and gasless abdomen except a small amount of air in the stomach (black arrow).
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F1
The X-ray showed a distended and gasless abdomen, except for a small amount of air in the stomach [Figure 1].
PMC3883270_02
Female baby at 2 h after birth with distended abdomen diagnosed with intrauterine volvulus of terminal ileum without malrotation. Barium study shows normal location of Trieitz ligament (black arrow).
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F2
Treitz ligament [Figure 2].
Female baby at 13 h after birth with distended abdomen diagnosed with intrauterine volvulus of terminal ileum without malrotation. At 13 h, the barium study shows stopage of barium with a beak-like shape of the pre-obstructed bowel (black arrow) with filling defect(white arrow) and a structure containing air around the end loop (arrowheads)
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F3
After 13 h, a small bowel loop showed a "bird beak" sign with filling defect and a round structure around this end loop [Figure 3].
PMC3883270_03
Female baby at 13 h after birth with distended abdomen diagnosed with intrauterine volvulus of terminal ileum without malrotation. Ultrasonographic examination of the abdomen shows a target lesion consistent with two loops of bowel, pneumatosis of the bowel wall (arrowheads) and twisting of vessels (white arrow).
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F4
Ultrasound scan showed a target lesion consistent of two loops of bowel, pneumatosis of the bowel wall, and twisting of vessels [Figure 4], suggesting a diagnosis of ileal volvulus with intestinal ischemia.