PMC6475719_01
Spiral CT Scan demonstrates midgut malrotation with Volvulus in coronal view.
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The abdominal Spiral CT Scan with IV and Oral Contrast demonstrated evidences of midgut malrotation with Volvulus without any obstruction, several enlarged mesenteric lymph nodes:the largest one was up to 9 mm:abnormal position of superior mesenteric vein (SMV):located at the left side of the Superior mesenteric artery (SMA): abnormal place of duodenojejunal junction (DJJ), and dispositioned 3rd part of the duodenum (D3), located in front of Superior mesenteric artery and vein (Fig. 1).
CT showing the characteristic whirpool's sign.
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The characteristic whirpool's sign was clearly seen around superior mesenteric artery (Fig. 2).
Abnormal position of cecum and appendix.
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Finally, appendectomy was performed to prevent misdiagnosis in future (Fig. 3, Fig. 4).