Question 2108
{"accessible":true,"alternatives":[{"id":10464,"text":"antral nipple sign"},{"id":10465,"text":"cervix sign"},{"id":10466,"text":"doughnut sign"},{"id":10467,"text":"pseudokidney sign"},{"id":10468,"text":"whirlpool sign"}],"archived":false,"correctAlternativeId":10468,"explanation":"\u003cp\u003eSpot film from a single contrast barium study demonstrates a corkscrew appearance of the fourth portion of the duodenum and the proximal jejunum and an abnormal position of the duodenojejunal junction consistent with intestinal malrotation with midgut volvulus.\u003c/p\u003e\u003cp\u003e\u003ca href=\"/articles/whirlpool-sign-mesentery\"\u003eWhirlpool sign\u003c/a\u003e is seen in cases of midgut volvulus on ultrasound which refers to the\u0026nbsp;swirling appearance of the\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/mesentery?lang=gb\"\u003emesentery\u003c/a\u003e\u0026nbsp;and\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/superior-mesenteric-vein?lang=gb\"\u003esuperior mesenteric vein\u003c/a\u003e\u0026nbsp;around the\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/superior-mesenteric-artery?lang=gb\"\u003esuperior mesenteric artery\u003c/a\u003e\u0026nbsp;with reverse\u0026nbsp;SMA-SMV relation.\u003c/p\u003e\u003cp\u003eThe antral nipple and cervix signs are seen in cases of \u003ca href=\"/articles/hypertrophic-pyloric-stenosis-hps\"\u003ehypertrophic pyloric stenosis (HPS)\u003c/a\u003e, and the\u0026nbsp;\u003ca href=\"/articles/target-sign-intussusception\"\u003edoughnut \u003c/a\u003eand \u003ca href=\"https://radiopaedia.org/articles/pseudokidney-intussusception?lang=gb\"\u003epseudokidney\u003c/a\u003e signs are\u0026nbsp;seen in cases of\u0026nbsp;\u003ca href=\"/articles/intussusception\"\u003eintussusception\u003c/a\u003e.\u003c/p\u003e","id":2108,"imageUrl":"https://prod-images-static.radiopaedia.org/images/595/ed036ccbfb158beee86813840187e8_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":35920},"imageAttributionCaseInfo":{"title":"Corkscrew sign of malrotation with midgut volvulus","contributor_name":"Behrang Amini","contributor_param":"behrang amini","case_rid":35920,"case_param":"corkscrew-sign-of-malrotation-with-midgut-volvulus"},"firstQuestionPath":"/questions/2108","nextQuestionPath":null,"relatedArticles":[{"id":6506,"title":"Pseudokidney sign (intussusception)","link":"/articles/pseudokidney-sign-intussusception?lang=us"},{"id":8491,"title":"Whirlpool sign (mesentery)","link":"/articles/whirlpool-sign-mesentery?lang=us"},{"id":1096,"title":"Cervix sign (pyloric stenosis)","link":"/articles/cervix-sign-pyloric-stenosis?lang=us"},{"id":913,"title":"Antral nipple sign (pyloric stenosis)","link":"/articles/antral-nipple-sign-pyloric-stenosis?lang=us"}],"alsoUsedIn":[{"id":992,"kind":"Course","title":"2021 Virtual Conference Private Use - page 992","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/992"},{"id":992,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 992","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/992"},{"id":992,"kind":"Course","title":"2022 Virtual Conference Private Use - page 992","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/992"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":53,"kind":"LiveSchedule","title":"53","link":"https://radiopaedia.org/admin/live_schedules/53"},{"id":1726,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1726","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1726"},{"id":365,"kind":"LiveSchedule","title":"365","link":"https://radiopaedia.org/admin/live_schedules/365"},{"id":280,"kind":"LiveSchedule","title":"280","link":"https://radiopaedia.org/admin/live_schedules/280"},{"id":946,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 946","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/946"},{"id":946,"kind":"Course","title":"2021 Virtual Conference Private Use - page 946","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/946"},{"id":946,"kind":"Course","title":"Paediatric Lectures - page 946","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/946"},{"id":1453,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1453","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1453"}],"stem":"\u003cp\u003eA neonate was brought into the\u0026nbsp;emergency department by his parents with complaints of sudden vomiting, green\u0026nbsp;in color. A single spot image from the barium meal examination is provided. Which of the following\u0026nbsp;classic signs will be present on an abdominal ultrasound in this case?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2108"}],"attemptsPercentages":[{"alternativeId":"10465","percentage":4},{"alternativeId":"10467","percentage":7},{"alternativeId":"10466","percentage":10},{"alternativeId":"10468","percentage":70},{"alternativeId":"10464","percentage":8}],"promptToLogin":false,"questionManager":false,"articleId":"target-sign-intussusception"}