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  • Title: Small bowel volvulus in children: its appearance on the barium enema examination.
    Author: Siegel MJ, Shackelford GD, McAlister WH.
    Journal: Pediatr Radiol; 1980 Nov; 10(2):91-3. PubMed ID: 7454428.
    Abstract:
    Two children with small bowel volvulus diagnosed on barium enema examination are reported. In one patient the volvulus was associated with malrotation and in the other patient there was a post-operative peritoneal adhesion. In both cases the diagnosis was based on "beaking" of the head of the barium column at the site of volvulus. Radiographic demonstration of a "beak" sign in the small bowel on barium enema examination should suggest a diagnosis of small bowel volvulus, and indicates the need for immediate surgery.
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