Small bowel obstruction with associated mesenteric volvulus
This patient had a history of fallopian tube cancer and had de-bulking. Now she presents with worsening abdominal pain and distention.
Loading Stack -
0 images remaining
CT demonstrates a small bowel obstruction due to a midgut volvulus (note the whirlpool sign of the SMA / SMV)
CT with intravenous contrast of the abdomen demonstrates swirling of the mesenteric root (whirlpool sign) with dilated loops of small bowel. The mesenteric volvulus is highly concerning for vascular compromise necessitating surgical intervention.
Note that these may be radiograpically indistinguishable.
Transmesenteric defect was noted on laparotomy. Appropriate bowel decompression and surgical correction was performed.