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Case Reports
. 2018 Apr;155(2):163-164.
doi: 10.1016/j.jviscsurg.2017.11.005. Epub 2017 Dec 13.

Computed tomography whirl sign: An image-based indication for surgery

C Hobeika  1 , I Anzoua Kouakou  2 , C Eveno  3
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Free article
Case Reports

Computed tomography whirl sign: An image-based indication for surgery

C Hobeika et al. J Visc Surg. 2018 Apr.
Free article

Abstract

Adhesive closed-loop small bowel obstruction can lead to volvulus and ischemia with risk of necrosis. The vital prognosis and bowel viability are highly dependent on rapid management. The physical examination is often insufficient to establish the diagnosis and computed tomography is ordered. The whirl sign provides the best imaging evidence of volvulus and can be sufficient to establish the indication for surgery.

Keywords: Adhesions; Small bowel; Small bowel obstruction; Strangulation; Whirl sign.

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Comment in

  • Whirl sign in sigmoid volvulus.
    Yuksel ME, Ozberk O, Ozkan N. Yuksel ME, et al. J Visc Surg. 2019 Jun;156(3):277-278. doi: 10.1016/j.jviscsurg.2019.04.010. Epub 2019 May 7. J Visc Surg. 2019. PMID: 31076342 No abstract available.

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