Midgut volvulus with small bowel obstruction

Case contributed by Dr Prashant Mudgal

Presentation

Elderly male presented with intestinal colic and bilious vomiting.

Patient Data

Age: 70 years
Gender: Male
Modality: CT

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.

Case Discussion

Mesenteric volvulus is a surgical emergency and early diagnosis management can prevent the impending bowel ischemia.

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Case Information

rID: 51163
Case created: 6th Feb 2017
Last edited: 7th Feb 2017
Tag: pm
Inclusion in quiz mode: Included

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