EURORAD ESR

Case 14511

Transverse Colon Volvulus: Case Report and Review of the Literature

Author(s)
Fettane Gómez S, Lozano Rodríguez Á, Morcillo Cabrera A, Moujir Sánchez A

Complejo Hospitalario Universitario Insular Materno-Infantil.
Hospital Universitario de Gran Canaria Doctor Negrín.

Email:sfettanegomez@gmail.com
 
Patient
female, 73 year(s)
 
 
  • Figure 1
    Abdominal Plain Radiograph and Volumetric Reconstruction.
     

    Figure 1A. AP abdominal plain radiograph. Low-grade obstructive ileus: marked dilation of colon and small bowel loops. Fecal content in sigma is detected.

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: eLearning; Special Focus: Volvulus;

    Figure 1B. Volumetric reconstruction in AP coronal projection. Colonic dilation with change of caliber in transverse colon (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: Image manipulation / Reconstruction; Procedure: eLearning; Special Focus: Volvulus;
     
     
  • Figure 2
    Axial and Coronal Contrast-enhanced CT.
     

    Figure 2A. Contrast-enhanced CT in portal phase, axial projection. Colonic distention with collapsed descending colon (arrowhead).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: eLearning; Special Focus: Volvulus;

    Figure 2B. Contrast-enhanced CT in portal phase, coronal projection. Colonic dilation with collapsed descending colon (arrowheads). Sudden change of caliber in transverse colon (white arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: eLearning; Special Focus: Volvulus;
     
     
  • Figure 3
    Coronal and Sagital Contrast-enhanced CT.
     

    Figure 3A. Contrast-enhanced CT in portal phase, coronal projection. ‘Whirlpool sign’. At the point of caliber change, twirling of transverse mesocolon vessels is seen (black arrowhead) shaping the classic...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: eLearning; Special Focus: Volvulus;

    Figure 3B. Contrast-enhanced CT in portal phase, sagital projection. ‘Bird’s beak sign’: Transverse colon dilation with sudden sharpness and change of caliber.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: eLearning; Special Focus: Volvulus;
     
     
Figure 1A. AP abdominal plain radiograph. Low-grade obstructive ileus: marked dilation of colon and small bowel loops. Fecal content in sigma is detected.
 
Figure 1B. Volumetric reconstruction in AP coronal projection. Colonic dilation with change of caliber in transverse colon (arrow).
 
Figure 2A. Contrast-enhanced CT in portal phase, axial projection. Colonic distention with collapsed descending colon (arrowhead).
 
Figure 2B. Contrast-enhanced CT in portal phase, coronal projection. Colonic dilation with collapsed descending colon (arrowheads). Sudden change of caliber in transverse colon (white arrow).
 
Figure 3A. Contrast-enhanced CT in portal phase, coronal projection. ‘Whirlpool sign’. At the point of caliber change, twirling of transverse mesocolon vessels is seen (black arrowhead) shaping the classic ‘whirl’ image.
 
Figure 3B. Contrast-enhanced CT in portal phase, sagital projection. ‘Bird’s beak sign’: Transverse colon dilation with sudden sharpness and change of caliber.
 
 
 
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