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Fig. 9C. —29-year-old man with acute abdominal pain and vomiting from malrotation with midgut volvulus. His history was significant for similar prior episodes without diagnosis. (Courtesy of Fleishman MJ, Denver, CO) Axial contrast-enhanced CT scans show characteristic whirllike appearance of bowel and mesentery wrapping around superior mesenteric artery (arrowheads, B). Note dilated duodenum (D, B), engorged mesenteric vessels (arrows, C), and underlying malposition of bowel.