Ultrasound imaging as the first line of investigation to diagnose intestinal malrotation in children: Safety and efficacy

Retrospective audit of 539 pediatric patients demonstrates ultrasound imaging as a safe, effective first-line diagnostic tool for intestinal malrotation, identifying 17 cases (5 with volvulus) while avoiding radiation exposure in 510 patients managed conservatively. Only 12 equivocal cases required subsequent contrast studies.