PMC6083817_01
CT images demonstrating midgut volvulus. 1a (top left) shows the abnormal superior mesenteric artery-vein (SMA-SMV) relationship associated with intestinal malrotation; with the SMV (marked with a blue arrow) being to the left of SMA (marked with red arrow). 1b (top right) shows an axial view and 1c (bottom) a coronal view of the pathognomonic 'whirlpool' sign associated with midgut volvulus. This characteristic appearance demonstrating the wrapping of the mesentery and SMV around the SMA (marked with red arrow).
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fig0005
Initially the patient was treated with analgesia plus fluids and an abdominal and pelvic computed tomography (CT) was requested (Fig. 1).