EURORAD ESR

Case 15113

Case report: Midgut malrotation with faecolith - A rare cause of small bowel obstruction in an adult

Author(s)
Szeyi Lai, Keng Peng Lim.

University Hospital of North Tees, Hardwick Rd, Hardwick, Stockton-on-Tees TS19 8PE, Durham, United Kingdom.
 
Patient
male, 62 year(s)
 
 
  • Figure 1
    CT abdomen

    Axial CT abdomen showing a faecolith impacting into an abnormal area of narrowing in the small bowel proximal to the abnormally located ileocaecal junction.

     
    Area of Interest: Anatomy; Imaging Technique: CT; Procedure: Education; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 2
    CT abdomen

    Axial CT abdomen demonstrating the 'whirlpool' sign.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    CT abdomen

    Axial CT abdomen demonstrating the caecum (white arrow) and ileocaecal junction to be abnormally located in the left side of the abdomen.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 4
    CT abdomen and pelvis

    Coronal CT image demonstrating the location of the faecolith.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 5
    CT abdomen and pelvis

    CT with 3-D reconstruction abdomen and pelvis demonstrating the position of the faecolith.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Obstruction / Occlusion;
     
     
Axial CT abdomen showing a faecolith impacting into an abnormal area of narrowing in the small bowel proximal to the abnormally located ileocaecal junction.
 
Axial CT abdomen demonstrating the 'whirlpool' sign.
 
Axial CT abdomen demonstrating the caecum (white arrow) and ileocaecal junction to be abnormally located in the left side of the abdomen.
 
Coronal CT image demonstrating the location of the faecolith.
 
CT with 3-D reconstruction abdomen and pelvis demonstrating the position of the faecolith.
 
 
 
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