The CT appearances of 16 patients with midgut malrotation were analyzed retrospectively. The most typical presentation is bilious vomiting. Illustration Picture The majority of children with. . Most events of midgut volvulus occur in the first month of life with decreased risk with age. If the patient is rotated to their left then the heart may appear enlarged. X-ray X-ray Lateral cross-table shoot through demonstrates no evidence of free intraabdominal gas. 1 case question available Barium meal Barium Barium Barium meal demonstrates malrotation with the DJ flexure not visible and certainly not located to the left of the midline. X-ray X-ray A cluster of dilated small bowel loops is noted in the left hemiabdomen along with air-fluid levels seen on the lateral decubitus view suggestive of an obstructive process. Bone malrotation refers to the situation that results when a bone heals out of rotational alignment from another ...