Colon cut-off sign

Discussion:

The colon cut-off sign has been described most commonly with acute pancreatitis, secondary to the inflammation extending to the splenic flexure via the phrenicocolic ligament. However, the degree of distension is not as much as in a true colonic stricture, with much of the small bowel distension in pancreatitis being due to ileus. If you see this pattern of x-ray findings in somebody with abdominal distension without features of acute pancreatitis, a malignant stricture should be suspected and CT of the chest, abdomen and pelvis arranged.

    Create a new playlist
Loading...