Torsion and volvulus can affect a variety of organ systems throughout the body, ranging from pathology involving the gastrointestinal tract to the reproductive organs and even the lymphatic system. Torsion and volvulus, regardless of the affected organ, often presents acutely, prompting pediatric patients to seek urgent clinical evaluation either through their pediatrician or the Emergency Department. Accurate and timely diagnosis of these conditions and prompt surgical intervention is critical for both preserving organ viability and preventing patient morbidity and mortality. In these patients, there is a high reliance on imaging for confirmation of the diagnosis. The purpose of this educational exhibit will be to discuss commonly encountered types of torsion and volvulus in pediatric patients in the emergent setting, with a focus on the imaging features and important clinical and radiologic associations in these conditions. The exhibit will highlight pathologies including midgut volvulus, gastric volvulus, sigmoid volvulus, splenic torsion, testicular torsion, and ovarian torsion, among others, in a case-based format. It is important that the radiologist be able to quickly and reliably diagnosis these potentially life-threatening conditions, as well as recognize any other potential conditions the patient may be at risk for. This educational exhibit is designed to improve reader comfort and awareness with respect to these various conditions. In addition to reviewing the traditional imaging approach in diagnosing these pathologies, the exhibit will also address some emerging methods in detection of volvulus and torsion, including ultrasound for diagnosis of malrotation with midgut volvulus and rapid MRI for the diagnosis of ovarian torsion. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Krauss Jillian, Cole Tiffany, Wyers Mary

Keywords: Volvulus, Emergency/Acute, Ovarian Torsion