Варианты эхографического представительства синдрома Ледда у новорожденных

Malrotation is a congenital abnormality of rotation and fixation of intestines that can be complicated by life-threatening small intestine torsion and extensive necrosis responsible for short bowel syndrome in survived patients. Ladd’s syndrome was diagnosed in 42 newborn infants with small intestine torsion revealed by echographic visualization of a concentric structure in epigastrium involving mesenterium and superior mesenteric vein twisted around superior mesenteric artery. All patients had clockwise torsion. Sensitivity, specificity, and probability of positive outcome were estimated at 95, 100 and 100% respectively. All patients were given surgical treatment and diagnosis was confirmed intraoperatively. No other radiodiagnostic methods were used in 2 cases, indications for surgical intervention were based on the results of ultrasound examination alone. Variants of the echographic picture of the torsion are illustrated by numerous images. A review of the literature on echographic diagnostics of intestinal torsion in newborns is presented.