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6 Cards in this Set

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Typical symptoms of midgut volvulus
sudden onset of abdominal pain and bile-stained emesis
The ischemia and necrosis may lead rapidly to bloody stools.
x-ray in midgut volvulus:
Flat and upright x-rays of the abdomen may reveal several small loops of bowel overriding the liver shadow, with little or no gas in the distal GI tract. Double bubble on upright film.
Exam in midgut volvulus:
mild abdominal distention, diffusely tender abdomen
What is the study of choice to diagnose midgut volvulus?
An upper gastrointestinal radiographic series
What causes midgut volvulus?
abnormal fixation of the mesentery of the bowel-- including the superior mesenteric artery-- during early fetal development
What does a double bubble represent?
partial obstruction of the duodenum causing distention of the stomach and the first part of the duodenum.