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Colon cutoff sign

The colon cutoff sign describes gaseaous distension seen in proximal colon associated with with narrowing of the splenic flexure in cases of acute pancreatitis. Though originally described in abdominal radiographs, this sign has also been demonstrated in contrast enemas and computed tomography1.

This appearance results from inflammatory process extending from the pancreas into the transeverse mesocolon via the phrenicocolic ligament1

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