Midgut volvulus with small bowel obstruction
Elderly male presented with intestinal colic and bilious vomiting.
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Distended stomach, duodenum, jejunum and ileum till its distal segment displaying multiple air fluid levels signifies bowel obstruction. There is adjacent mesentery appears twisted along with vessels and ileal loop depicting 'whirlpool sign' suggestive of midgut volvulus. Bowel distal to the volvulus appears collapsed.
Mesenteric volvulus is a surgical emergency and early diagnosis management can prevent the impending bowel ischemia.