WebFeb 6, 2024 · A specific CT sign for volvulus is the whirl sign, which has been described in volvulus of the midgut, cecum, and sigmoid colon 3. The whirl is composed of spiralled loops of collapsed cecum and sigmoid colon. Low-attenuating fatty mesentery with enhancing engorged vessels radiate from the twisted bowel. In the central eye of the … WebMay 5, 2009 · The “whirl sign” is an uncommon finding on emergency CT. However, it is easy to overlook if not kept in mind. Its recognition is of capital importance, being most of …
(PDF) The whirlpool sign in CT scan - ResearchGate
WebThe whirl sign was present on the CT scans of 32 of the 53 patients, for a sensitivity of 60%. One hundred thirty-three of 141 patients did not need surgery and did not have a whirl sign, for a specificity of 94%. The odds ratio for the whirl sign in predicting the presence of SBO necessitating surgery was 25.3 (95% CI, 10.3–62.3). COnClUsIOn. WebDec 28, 2024 · northern exposure sign. Fluoroscopy. Although now uncommonly performed, a water-soluble contrast enema exquisitely demonstrates this condition, with the appearances described as the … cam wilcox
Diagnosis, treatment and prognosis of small bowel volvulus in ... - PubMed
WebApr 20, 2024 · The use of CT scans, X-rays or ultrasound did not differ significantly between patients. In 9 of 20 patients that received abdominal CT scans, "whirlpool sign" on the CT scan was present. Secondary small bowel volvulus was present in 58.1% of patients, and causes included bands (3), adhesion (7), congenital anomalies (7) and stromal tumor (1). WebApr 1, 2014 · The “whirlpool sign”, first described in a case of midgut volvulus by Fisher on CT scan is created by small bowel loops encircling the SMA [11]. The SMA is closely wrapped by clockwise coils of the bowels and mesentery-embedded SMV resulting in multiple concentric circles on cross-sectional imaging. WebApr 20, 2024 · In 9 of 20 patients that received abdominal CT scans, “whirlpool sign” on the CT scan was present. Secondary small bowel volvulus was present in 58.1% of patients, and causes included bands (3), adhesion (7), congenital anomalies (7) and stromal tumor (1). Out of the 31 patients, 15 with gangrenous small bowel had to undergo intestinal ... cam willis uab