Sentinel loop - acute appendicitis

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal right lower quadrant pain and tenderness.

Patient Data

Age: 30 years
Gender: Male
X-ray

 Focal area of adynamic ileus close to the appendix location.

Case Discussion

Focal area of adynamic ileus close to the appendix location at right lower quadrant in a patient with abdominal pain and tenderness is compatible with a sentinel loop due to acute appendicitis.

The other common scenario in which a sentinel loop is observed is in acute pancreatitis, the adynamic loop occurring adjacent to potentially any inflamed structure.

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Case information

rID: 22034
Published: 5th Mar 2013
Last edited: 3rd Jun 2020
Inclusion in quiz mode: Included

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