Organoaxial Gastric Volvulus Detected by Meckel Scan

Burke, George; Mercado-Deane, María Gisela; Burton, Edward M.

doi:10.1097/00003072-199407000-00007

Cited by 5 publications

(1 citation statement)

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“…Bowel ulceration and inflammation and renal activity may also cause false-positive results. Bowel malposition has been detected on scintigraphy [227].…”

Section: Meckel Scintigraphymentioning

confidence: 99%

Where are we with nuclear medicine in pediatrics?

Nadel

1995

Eur J Nucl Med

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The practice of nuclear medicine in children is different from that in adults. Technical considerations including immobilization, dosing of radiopharmaceuticals, and instrumentation are of major importance. Image magnification and the capability to perform single-photon emission tomography are essential to performing state of the art pediatric nuclear medicine. New advances in instrumentation with multiple detector imaging, the possibility of clinical positron emission tomography imaging in children, and new radiopharmaceuticals will further enhance pediatric scintigraphic imaging. This review highlights advances in pediatric nuclear medicine and discusses selected clinical problems.

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“…Bowel ulceration and inflammation and renal activity may also cause false-positive results. Bowel malposition has been detected on scintigraphy [227].…”

Section: Meckel Scintigraphymentioning

confidence: 99%

Where are we with nuclear medicine in pediatrics?

Nadel

1995

Eur J Nucl Med

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Volvulus in childhood

1997

Der Radiologe

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Gastric volvulus or volvulus of the small-bowel can occasionally be found in neonates and small infants. Since volvulus is an emergency case, the radiologist must know the characteristic radiological findings and the ultrasound signs in correlation to the clinical symptoms. Two forms of gastric volvulus can be distinguished: the organoaxial type and a mesenterioaxial form. Besides an idiopathic etiology, diaphragmatic alterations can be observed in children with volvulus of the stomach. Volvulus of the small-bowel occurs in children with malrotation type I or II or with nonrotation. Bile-stained vomiting starts within the first days of life and is followed by the clinical signs of high bowel obstruction and peritonitis. Primarily in cases of gastric volvulus, an ultrasound examination can show the wrong position of the stomach or the pyloric region. In cases of small-bowel volvulus, abnormal localization of the superior mesenteric artery can be demonstrated. The plain film features an upper small-bowel obstruction. Upper intestinal contrast studies may reveal the level of small-intestine obstruction. A contrast enema can rule out a concomitant colon nonrotation or malrotation. A rare form which can be misdiagnosed easily, is volvulus of the sigmoid with pathological elongation and positioning of the sigma. It appears mostly in school children with less urgent symptoms and can disappear spontaneously. A typical feature is pain in the left lower abdomen and complete obstruction in an opaque enema.

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Acute Obstruction of a Chronic Organoaxial Gastric Volvulus Detected on Blood Pool Imaging of a Bone Scan

Bryanton

Mujoomdar²,

Rachinsky³

2015

Clinical Nuclear Medicine

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Acute obstruction of a chronic gastric volvulus was incidentally detected on blood pool imaging of a total body bone scan performed for an elevated prostate-specific antigen level. The patient had been diagnosed with an organoaxial gastric volvulus within a paraesophageal hernia 4.5 years previously, with no evidence for obstruction. The patient remained asymptomatic until becoming acutely obstructed on the day of his bone scan. This case gives further evidence for the additive utility of routine total body blood pool imaging for detecting and characterizing both osseous and nonosseous pathology.

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Organoaxial Gastric Volvulus Detected by Meckel Scan

Cited by 5 publications

References 0 publications

Where are we with nuclear medicine in pediatrics?

Where are we with nuclear medicine in pediatrics?

Volvulus in childhood

Acute Obstruction of a Chronic Organoaxial Gastric Volvulus Detected on Blood Pool Imaging of a Bone Scan

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