What is the role of plain radiography in the workup of intestinal malrotation?

Updated: Dec 19, 2018
  • Author: Denis D Bensard, MD, FACS, FAAP; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Plain radiography has limited use for defining intestinal obstruction. The classic pattern for duodenal obstruction, if present, is the double-bubble sign produced by an enlarged stomach and proximal duodenum with little gas in the remainder of the bowel. Distended bowel loops with or without pneumatosis intestinalis may be seen. If pneumoperitoneum is suspected, a left lateral decubitus film can be obtained to better visualize this process


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