CASE 20: Abdominal CT

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CT findings reveal

Dilated small bowel with Small Bowel Faeces Sign

CT whirlpool sign involving distal ileal loops

Normal Large bowel

Slight thickening of small bowel loops

Ascites

Incidental R renal calculus

 

CT diagnosis: Small Bowel Volvulus 

Surgery revealed ileal band causing small bowel volvulus with Early Small Bowel Ischaemia

DISCUSSION

CT whirlpool or whirl sign signifies when structures twist on itself. It is most commonly described in the abdomen bowel rotates around its mesentery - small bowel volvulus/ closed gut obstruction

Further reading 

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