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Utility of CT Whirl Sign in Guiding Management of Small-Bowel Obstruction

Jeremy B. Duda1, Shweta Bhatt and Vikram S. Dogra

1 All authors: Department of Imaging Sciences, University of Rochester School of Medicine, 601 Elmwood Ave., Box 648, Rochester, NY 14642.


Figure 1
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Fig. 1 80-year-old man with surgically confirmed small-bowel obstruction secondary to internal hernia. Contrast-enhanced CT scan through abdomen shows whirl sign (thick arrow). Minimal accompanying ascites and small ventral hernia (thin arrow) are evident.

 

Figure 2
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Fig. 2A 52-year-old woman with small-bowel obstruction found at laparotomy. Contiguous axial contrast-enhanced CT scans show whirl sign (arrow).

 

Figure 3
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Fig. 2B 52-year-old woman with small-bowel obstruction found at laparotomy. Contiguous axial contrast-enhanced CT scans show whirl sign (arrow).

 

Figure 4
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Fig. 2C 52-year-old woman with small-bowel obstruction found at laparotomy. Contiguous axial contrast-enhanced CT scans show whirl sign (arrow).

 

Figure 5
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Fig. 3A 20-year-old man with small-bowel obstruction successfully managed conservatively. Contiguous axial contrast-enhanced CT scans show whirl sign (arrow).

 

Figure 6
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Fig. 3B 20-year-old man with small-bowel obstruction successfully managed conservatively. Contiguous axial contrast-enhanced CT scans show whirl sign (arrow).

 

Figure 7
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Fig. 3C 20-year-old man with small-bowel obstruction successfully managed conservatively. Contiguous axial contrast-enhanced CT scans show whirl sign (arrow).

 

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