Colon cut-off sign

Case contributed by edgar ivan torres estrada
Diagnosis almost certain

Presentation

Acute abdominal pain, nausea, and vomiting.

Patient Data

Gender: Male

Abdomen (CT scout)

x-ray

CT showing the colon cut-off sign at the splenic flexure. 

Case Discussion

The colon cut-off sign is formed by the inflammatory process extending from the inflamed pancreas into the phrenicocolic ligament via the transverse mesocolon and causing the abrupt interruption of the air column at the splenic flexure.

A laboratory test revealed the elevation of serum pancreatic enzymes and this patient was diagnosed with acute pancreatitis

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.