Quadruple (1440 degrees) intestinal volvulus-Reference-Cited by-同舟云学术

Quadruple (1440 degrees) intestinal volvulus

Published:2024-06 Issue:6 Volume:12 Page:
ISSN:2050-0904
Container-title:Clinical Case Reports
language:en
Short-container-title:Clinical Case Reports

Author:

Kakisako Jun¹²,Otsuki Takuya¹²,Asakura Takeshi³,Sasaki Daisuke⁴,Ie Kenya¹²,Ishizuka Kosuke⁵^ORCID

Affiliation:

1. Department of General Internal Medicine Kawasaki Municipal Tama Hospital Kawasaki Kanagawa Japan

2. Department of General Internal Medicine St. Marianna University School of Medicine Kawasaki Kanagawa Japan

3. Department of Gastroenterological and General Surgery Kawasaki Municipal Tama Hospital Kawasaki Kanagawa Japan

4. Department of Gastroenterological and General Surgery St. Marianna University School of Medicine Kawasaki Kanagawa Japan

5. Department of General Medicine Yokohama City University School of Medicine Yokohama Kanagawa Japan

Abstract

Key Clinical MessageA whirl sign on contrast‐enhanced abdominal CT scan is indicative of intestine twisted around the mesenteric vessels, and is observed in cases of strangulated obstruction, signaling compromised intestinal circulation. In cases of intestinal volvulus, surgery is necessary to untwist the affected bowel, and resection is necessary if necrosis is present.AbstractA 31‐year‐old Japanese man presented with acute lower abdominal pain and vomiting. Contrast‐enhanced abdominal computed tomography (CT) revealed a 1440‐degree clockwise torsion of superior mesenteric artery and a whirl sign. Intestinal volvulus in adulthood with a background of malrotation is extremely rare. Contrast‐enhanced CT is effective for diagnosis.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ccr3.9022

Reference3 articles.

1. Intestinal malrotation in adults: prevalence and findings based on CT colonography

2. Volvulus of the Small Intestine in Adults

3. Computed tomographic diagnosis of volvulus in intestinal malrotation.