Horseshoe sign: Sigmoid volvulus

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Sigmoid volvulus showing a "whirl sign" on computed tomography

Background Sigmoid volvulus is a rare condition. A high incidence has been reported in debilitated, or chronically constipated patients. It is important to recognize this condition early and then initiate prompt treatment. Endoscopic treatment has a high perforation risk. The "whirl sign", was first described by Fisher, as suggesting volvulus of the small bowel, and it was considered that this ...

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Sigmoid volvulus showing "a whirl sign" on CT.

An 80-year-old man was admitted to our hospital with increasing colicky pain and loss of appetite. Abdominal X-ray films revealed gross dilatation of the colon without any characteristic features of volvulus such as the coffee bean sign (Fig. 1). Abdominal computed tomography (CT) revealed a dilated colon with an air/fluid level and the “whirl sign”, which represents twisted colon and mesentery...

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Coffee bean sign, whirl sign and bird's beak sign in the diagnosis of sigmoid volvulus

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Diagnosis of sigmoid volvulus using the coffee bean, northern exposure sign, whirl sign and transition point.

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ژورنال

عنوان ژورنال: Journal of Medical Imaging and Radiation Oncology

سال: 2018

ISSN: 1754-9477

DOI: 10.1111/1754-9485.33_12784