Small bowel obstruction with mesenteric volvulus

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Patient with acute colicky abdominal pain.

Patient Data

Age: 60
Gender: Female

CT findings are distension of several small bowel loops due to the swirling of bowel and mesentery twisted around the SMA axis.

Annotated image

CT whirlpool sign

CT findings are distension of several small bowel loops due to the swirling of bowel and mesentery twisted around the SMA axis.

Case Discussion

The findings of the CT images compatible with small bowel obstruction due to mesenteric volvulus which presented with whirl or whirlpool sign.

Small bowel volvulus refers to the abnormal twisting of a loop of bowel around the axis of its own mesentery. This twisting may produce mechanical obstruction, vascular compromise, or both.

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Case information

rID: 21662
Case created: 8th Feb 2013
Last edited: 27th Jun 2016
Inclusion in quiz mode: Included

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