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Pediatr Radiol. 1995;25(4):259-61.

Midgut malfixation in patients with congenital diaphragmatic hernia: what is the risk of midgut volvulus?

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Department of Pediatric Radiology, Columbia-Presbyterian Medical Center, Babies and Children's Hospital, New York, NY 10032, USA.


Twenty-four patients with repaired diaphragmatic hernia had upper gastrointestinal series to assess the rotation and fixation of the bowel. A spectrum of rotational abnormalities was present in almost all patients, although those with repaired right-sided hernias demonstrated a more obvious anomaly of rotation than those with repaired left-sided hernias. No patient developed a midgut volvulus despite the presence of malfixation. Postoperative adhesions likely limit the occurrence of volvulus.

[Indexed for MEDLINE]

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