Oblique axial computed tomography (CT) reformatted image perpendicular to the superior mesenteric artery axis demonstrating swirling of the mesenteric vessels around the superior mesenteric artery (black arrow) consistent with a midgut volvulus. Oblique axial computed tomography (CT) reformatted image perpendicular to the superior mesenteric artery axis demonstrating swirling of the mesenteric vessels around the superior mesenteric artery (black arrow) consistent with a midgut volvulus. Joseph A. Sykes et al. Pediatrics in Review 2013;34:e1-e4 ©2013 by American Academy of Pediatrics