EURORAD ESR

Case 10744

A case of abdominal pain

Author(s)
Ines Casazza, Mara Angela Guglietta, Katia Piccotti, Chiara De Dominicis, Francesca Di Gregorio

Ospedale Sant'Andrea,
La Sapienza, Radiology;
Via di Grottarossa 1035
00189 Rome, Italy;
Email:ines82@libero.it
 
Patient
female, 56 year(s)
 
 
  • Figure 1
    Abdominal Plain X-ray, supine AP (anterior-posterior) projection

    Dilated air -illed loops of colon and small bowel

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Complications; Special Focus: Volvulus;
     
     
  • Figure 2
    Abdominal X-ray, AP erect projection

    Large bowel obstruction and hydroair level

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Education; Special Focus: Volvulus;
     
     
  • Figure 3
    Axial and coronal CT images

    Evidence of large bowel obstruction with the appearance of distended and medialized caecum. Coronal views of CT show the "whirl sign".

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Volvulus;
     
     
  • Figure 4
    Axial and coronal CT images

    CT axial shows inverted position of superior mesenteric vessels (the superior mesenteric vein should always lie to the right of the superior mesenteric artery) and right colon on the left.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Volvulus;
     
     
Dilated air -illed loops of colon and small bowel
 
Large bowel obstruction and hydroair level
 
Evidence of large bowel obstruction with the appearance of distended and medialized caecum. Coronal views of CT show the "whirl sign".
 
CT axial shows inverted position of superior mesenteric vessels (the superior mesenteric vein should always lie to the right of the superior mesenteric artery) and right colon on the left.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version