Sigmoid volvulus - whirlpool sign
Diagnosis certain
Updates to Case Attributes
Title
was changed:
Whirlpool sign- sigmoid volvulus
Race
changed from Indian/Pakistani to .
Presentation
was changed:
Severe generalized abdominal pain offof 2 hours duration. The pain was colicky in nature all over histhroughout the abdomen some time he feel it as, with occasional burning sensation onin the epigastric region and pain radiating to the back associated with. There was constipation andwith one episode of vomiting.
This presentation was the second such episode; the patient had the same pain before 3 years before and was treated by simple injection andconservatively with IV fluids.
On examination: BP:145/84, PR:113, SPO2:100: 100%, Pain score: 10/10. Abdomen was mildly distended with generalized tenderness and guarding mainly on the the left side of the abdomen.
Initial management with IV fluids and analgesia.
Body
was changed:
Features consistent of Clinical and imaging features compatible withsigmoid volvulus. A specific CT sign for volvulus is the whirlpool sign, which has been described in volvulus of the midgut, cecum, and sigmoid colon.
Related article
-<p>Features consistent of <strong>sigmoid volvulus.</strong> A specific CT sign for volvulus is the <strong>whirlpool sign</strong>, which has been described in volvulus of the midgut, cecum, and sigmoid colon</p><p><strong>Related article</strong></p><p></p><ul>-<li><a href="/articles/sigmoid-volvulus" title="Sigmoid volvulus">sigmoid volvulus</a></li>-<li><a href="/articles/whirlpool-sign" title="Whirlpool sign">whirlpool sign</a></li>-</ul>- +<p>Clinical and imaging features compatible with<strong> </strong><a title="Sigmoid volvulus" href="/articles/sigmoid-volvulus">sigmoid volvulus</a>. A specific CT sign for volvulus is the <a title="Whirlpool sign" href="/articles/whirlpool-sign">whirlpool sign</a>, which has been described in volvulus of the midgut, cecum, and sigmoid colon.</p>
Updates to Study Attributes
Findings
was changed:
A couple of selected images from a CT scan of the abdomen shows a grossly distended sigmoid colon in(sigmoid colon has a bean shape), with tortiontorsion of the sigmoidmesentery. No evidence of any significant bowel bowel perforation.
Images Changes:
Image CT (C+ portal venous phase) ( update )
Perspective
was set to
Coronal.
Single Or Stack Root
was set to
.
Specifics
changed from non-contrast to C+ portal venous phase.
Image CT (C+ portal venous phase) ( update )
Perspective
was set to
Coronal.
Single Or Stack Root
was set to
.
Specifics
changed from non-contrast to C+ portal venous phase.
Image CT (C+ portal venous phase) ( update )
Specifics
changed from non-contrast to C+ portal venous phase.
Single Or Stack Root
was set to
.
Perspective
was set to
Axial.
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