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Volvulus

Volvulus in pediatric ultrasound refers to the twisting of a segment of bowel, most commonly the small intestine, around its mesentery. This severe condition can obstruct blood flow, leading to bowel ischemia and necrosis, and is a medical emergency requiring urgent diagnosis. In infants and children, symptoms like bilious vomiting, abdominal pain, and distension are key indicators.

Ultrasound plays a crucial role in the rapid identification of pediatric volvulus, often revealing the characteristic “whirlpool sign” – a spiraling appearance of the superior mesenteric artery and vein. Early recognition through sonography is vital for prompt surgical intervention, significantly improving patient outcomes and reducing morbidity.

Clinical Author

Dr. Emma Khabure is an experienced Family Physician in Kenya with a dedicated focus on point-of-care ultrasound (POCUS) across clinical settings. Over the past 3 years, Dr. Emma Khabure has...

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