What is the role of contrast enema 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

Occasionally, upper GI series may fail to define the location of the duodenojejunal junction, in which case, a contrast enema may be helpful to identify the location of the cecum.

A normally placed cecum does not unequivocally rule out intestinal malrotation and clinical judgment must be exercised. See the image below.

These 2 lower GI series show the cecum (arrows) in These 2 lower GI series show the cecum (arrows) in the right upper quadrant, indicative of malrotation.

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