Ct scan whirl sign
WebThe objective of this study was to determine the sensitivity of the CT "whirl sign" for the diagnosis of small bowel volvulus in patients who present with a clinical suspicion of … WebThe whirl sign was present on the CT scans of 32 of the 53 patients, for a sensitivity of 60%. One hundred thirty-three of 141 patients did not need surgery and did not have a whirl sign, for a specificity of 94%. The odds ratio for the whirl sign in predicting the presence of SBO necessitating surgery was 25.3 (95% CI, 10.3–62.3). COnClUsIOn.
Ct scan whirl sign
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WebComputed tomography (CT) scans of the wrist have been used to assess fusion procedures, foreign bodies, masses, and carpal fractures(1). A study suggested that CT … WebJul 1, 2024 · The CT scan showed a twisting of the mesenteric vessels and small bowel around the mesentery with mesenteric vessels creating the whirl sign suggestive of volvulus (whirlpool sign) with few ...
WebApr 20, 2024 · In 9 of 20 patients that received abdominal CT scans, “whirlpool sign” on the CT scan was present. Secondary small bowel volvulus was present in 58.1% of patients, and causes included bands (3), adhesion (7), congenital anomalies (7) and stromal tumor (1). Out of the 31 patients, 15 with gangrenous small bowel had to undergo intestinal ... WebMay 6, 2024 · In light of this finding, we obtained a computed tomography (CT) scan. This scan identified multiple dilated loops of small bowel, consistent with small bowel obstruction (Figure 3), and twisting of the small-bowel mesentery around the axis of the superior mesenteric artery (SMA) in a classic whirl sign consistent with midgut volvulus (Figure 4).
Webleading to intestinal obstruction. Abdominal CT scans were performed in 20 patients, and the characteristic whirlpool sign (a tightly twisted mesentery around the point of torsion) pre-sented in 9 cases (Figs 1 and 2); hence abdominal … Webpubs.rsna.org
WebThe CT whirl sign is a moderately sensitive but highly specific marker for gastrointestinal volvulus, with a high positive predictive value and an OR of 25 4 in predicting the …
WebApr 20, 2024 · The use of CT scans, X-rays or ultrasound did not differ significantly between patients. In 9 of 20 patients that received abdominal CT scans, "whirlpool sign" on the CT scan was present. Secondary small bowel volvulus was present in 58.1% of patients, and causes included bands (3), adhesion (7), congenital anomalies (7) and stromal tumor (1). how do white blood cells help fight infectionWebFeb 6, 2024 · A specific CT sign for volvulus is the whirl sign, which has been described in volvulus of the midgut, cecum, and sigmoid colon 3. The whirl is composed of spiralled loops of collapsed cecum and sigmoid colon. Low-attenuating fatty mesentery with enhancing engorged vessels radiate from the twisted bowel. In the central eye of the … ph of piranha solutionWebA specific CT sign for volvulus is the “whirl” (Fig. 5A, 5B), which has been described in volvulus of the midgut, cecum, and sigmoid colon [2, 4]. The whirl is composed of spiraled loops of collapsed cecum and sigmoid colon. ... —Axial CT scan shows cecal volvulus in 57-year-old man. “Whirl sign” is composed of spiraled loops of ... how do white hairs formWebThe whirl sign was identified on the CT scans of 40 of the 194 patients. Thirty-two of the 40 patients had SBO necessitating surgery, for a positive predictive value of 80%; 133 of … ph of play sandWebApr 23, 2015 · Clinical Issues. Clinical findings of SBO include crampy abdominal pain, distention, vomiting, and high-pitched or absent bowel sounds. In patients with SBO, leukocytosis or an elevated serum amylase and lactic acid levels suggest a complication and should prompt a contrast material–enhanced abdominal and pelvic CT to determine the … how do white blood cells travel in the bodyWebMay 5, 2009 · The “whirl sign” is an uncommon finding on emergency CT. However, it is easy to overlook if not kept in mind. Its recognition is of capital importance, being most of … ph of plain waterWebFeb 1, 2024 · Sigmoid volvulus is the third most common cause of bowel obstruction after cancer and diverticulitis. 1 Risk factors include chronic constipation, diabetes mellitus, neurologic disorders, and previous … how do white blood cells work