Fig. 9

Patterns of malrotation. CTE images in three different patients. A and B Axial and coronal reformatted images in patient with non-rotation of the intestine showed right-sided SI and left-sided colon with appendix arising from the midline caecum, circumaortic left renal vein and abnormal direction of the pancreatic body and tail (heterotaxy). It also showed multiple splenules (not shown in images) (polysplenia syndrome). C Axial images in another patient with reversed rotation of the intestine showed also right-sided SI, left-sided colon, retro-mesenteric colon and midgut volvulus. D Axial images in another patient with malrotation showed right-sided jejunum with normal position of the colon and abnormal vertical relationship between mesenteric vessels. Also, there is moderate left-side ileal wall thickening with submucosal edema pattern, suggesting malrotation with left paraduodenal hernia