The whirl sign in caecal volvulus: a decisive diagnostic clue.
The case of a 35-year-old woman with acute right flank pain, right iliac fossa pain, nausea and vomiting for 6 hours is presented. Plain abdominal radiography and CT scan were performed to find the etiology. These exams showed no signs of colonic obstruction but thickened non-enhancing wall of caecum with ascites was suggestive for ischemia. The whirl sign depicted on CT was the decisive feature for the diagnosis of caecal volvulus.
Rappaport
A
A
Department of Radiology, Europaziekenhuizen-Cliniques de I'Europe, St. Elisabeth, Brussels, Belgium.
Roland
T
T
Pringot
J
J
Billemont
M F
MF
Ghijselings
L
L
Van Campenhoudt
M
M
D000328:Adult; D002429:Cecal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed