title: A fatal case of adult small bowel volvulus.
abstract: A 56-year-old man was hit by a car while riding a bicycle, immediately brought to the hospital, and treated. Four days after the accident, he reported abdominal pain and vomiting in the night, and he died the next day. A forensic autopsy was performed, and almost of the entire small bowel had gangrenous swelling. The mesentery was twisted 180° with clockwise rotation along the vascular axis, and pre-autopsy computed tomography scan showed a whirl sign.
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan. Electronic address: moo600@faculty.chiba-u.jp.
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Hayakawa
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Yohsuke
authors.initials: Y
authors.lastname: Makino
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yajima
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Go
authors.initials: G
authors.lastname: Inokuchi
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Ayumi
authors.initials: A
authors.lastname: Motomura
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Fumiko
authors.initials: F
authors.lastname: Chiba
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Suguru
authors.initials: S
authors.lastname: Torimitsu
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Namiko
authors.initials: N
authors.lastname: Ishii
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Hisako
authors.initials: H
authors.lastname: Saitoh
authors.affiliation: Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba, Japan.
authors.forename: Hirotaro
authors.initials: H
authors.lastname: Iwase
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000063:Accidents, Traffic; D001642:Bicycling / Q000293:injuries; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D007421:Intestine, Small / Q000098:blood supply* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
keywords: Computed tomography; Small bowel volvulus; Whirl sign