CASE 142

History: A 38-year-old woman presents with dyspepsia.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Malrotation

B. Mislabeling

C. Duodenal volvulus

D. Surgical mobilization

E. Right paraduodenal hernia

2. What is the key vascular finding on CT that suggests midgut malrotation?

A. Relationship between the superior mesenteric artery and vein

B. Left-sided inferior vena cava

C. Congenital heart disease

D. Persistent vitelline artery

3. What is the most common presentation of symptomatic midgut malrotation?

A. Newborn less than 1 month old with acute vomiting

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