Presentation
Acute abdominal pain and distension.
Patient Data
Age: 75 years
Gender: Female
From the case:
Midgut volvulus
Axial C+ portal venous phase
Volvulus centered on the third part of the duodenum with a whirlpool sign involving the superior mesenteric vessels.
The majority of the small bowel, with the exception of the distal ileum, is dilated and non or poorly enhancing. A small amount of intramural gas.
Small volume free fluid. Congested small bowel mesentery.
Collapsed IVC.
Segment 7 liver hemangioma.
Vaginal ring pessary.
Case Discussion
An adult presentation of a mid gut volvulus and small bowel ischemia with a superb example of the whirlpool sign.
The patient proceeded to surgery.
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