Colon cut-off sign

Case contributed by edgar ivan torres estrada

Presentation

Acute abdominal pain, nausea, and vomiting.

Patient Data

Gender: Male
X-ray

Abdomen (CT scout)

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

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Case information

rID: 47592
Published: 7th Aug 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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