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Small Bowel Volvulus

Reed CMR - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Small Bowel Volvulus

History: 60 year old male with metastatic colorectal cancer and acute renal failure has acute onset abdominal pain and distension.

Findings: Flat and Upright Abdominal Films reveal multiple dilated loops of small bowel with prominent air fluid levels. Axial CT images from the upper abdomen show normal orientation of the Superior Mesenteric Artery and Vein proximally with twisting and malposition of the Superior Mesenteric Artery distally (SMA to the left of the SMV proximally and to the right of the SMV distally). Axial CT images from the mid-lower abdomen show the mesenteric whorl sign (twisting of the mesentery) and associated mesenteric vessel engorgement. Bowel wall thickening suggests ischemia.

Ddx: Small Bowel Volvulus

Dxhow: Surgically.

Exam: Patient is Afebrile Abdomen is diffusely tender and distended. Creatinine is 4.0. Lactate Pending.

No MeSH data available.


Lower Abdomen
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MPX1172_synpic19492: Lower Abdomen


Small Bowel Volvulus

Reed CMR - MedPix

Lower Abdomen
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1172&req=5

MPX1172_synpic19492: Lower Abdomen

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Small Bowel Volvulus

History: 60 year old male with metastatic colorectal cancer and acute renal failure has acute onset abdominal pain and distension.

Findings: Flat and Upright Abdominal Films reveal multiple dilated loops of small bowel with prominent air fluid levels. Axial CT images from the upper abdomen show normal orientation of the Superior Mesenteric Artery and Vein proximally with twisting and malposition of the Superior Mesenteric Artery distally (SMA to the left of the SMV proximally and to the right of the SMV distally). Axial CT images from the mid-lower abdomen show the mesenteric whorl sign (twisting of the mesentery) and associated mesenteric vessel engorgement. Bowel wall thickening suggests ischemia.

Ddx: Small Bowel Volvulus

Dxhow: Surgically.

Exam: Patient is Afebrile Abdomen is diffusely tender and distended. Creatinine is 4.0. Lactate Pending.

No MeSH data available.