Presentation
Epigastric pain after a large meal.
Patient Data
Age: 50 years
Gender: Female
From the case:
Abdominal whirl sign (whirlpool sign) of the mesentery
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Whirl-like rotation of the mesentery and superior mesenteric vein around the superior mesenteric artery, with involvement of a small bowel loop consistent with intestinal malrotation. Minimal ascites in the pelvis. Status post cholecystectomy.
Case Discussion
Example of the abdominal "whirl sign" or "whirlpool sign", a swirling appearance of the mesentery and superior mesenteric vein around the superior mesenteric artery. It commonly occurs in cases of intestinal malrotation and/or midgut volvulus 1. This patient already had a surgically treated small bowel ileus 8 years ago. This time she was treated conservatively and her symptoms subsided after a few days.
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