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Case Reports
. 2023 Oct 19;11(10):e8086.
doi: 10.1002/ccr3.8086. eCollection 2023 Oct.

Acute pancreatitis with colon cutoff sign

Ryo Shinomiya  1 , Naonori Inoue  1 , Takuji Kawamura  1 , Koji Uno  1
Affiliations
Case Reports

Acute pancreatitis with colon cutoff sign

Ryo Shinomiya et al. Clin Case Rep. .

Abstract

Key clinical message: Acute pancreatitis can present with a colon cutoff sign. The colon cutoff sign can also occur in gastric cancer, splenic artery bleeding, and ruptured abdominal aortic aneurysm. A CT scout image can also be an important laboratory finding for diagnosing a disease.

Abstract: A 22-year-old woman visited our hospital with a complaint of epigastric pain. An abdominal contrast-enhanced computed tomography (CT) scan revealed that intestinal gas was interrupted at the splenic flexure on the CT scout image (colon cutoff sign). Scan images showed a poorly contrasted area in the pancreatic tail. Based on these results, the patient was diagnosed with acute pancreatitis. The colon cutoff sign is an image showing the spread of inflammation to the colon. A CT scout image can also be an important laboratory finding for diagnosing a disease.

Keywords: CT scout images; acute pancreatitis; colon cutoff sign.

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Figures

FIGURE 1
FIGURE 1
CT scout image. Intestinal gas is interrupted from the splenic flexure to the middle of the descending colon (arrow).
FIGURE 2
FIGURE 2
Abdominal intravenous contrast‐enhanced CT. (A) Axial section (B) Coronal section. Poor contrast area in the tail of the pancreas (arrowhead). Narrowing of the descending colon (arrow).
See this image and copyright information in PMC

References

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