Presentation
Elderly male presented with intestinal colic and bilious vomiting.
Patient Data
Age: 70 years
Gender: Male
From the case:
Midgut volvulus with small bowel obstruction
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Axial C+ portal venous phase
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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