PMC6526558_01
US of the abdomen. Gallbladder with no sonographic evidence of cholecystitis or cholelithiasis.
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Initial impression was that of acute cholecystitis, and an ultrasound scan revealed a gallbladder with no evidence of cholelithiasis or cholecystitis (Figure 1).
US of the abdomen. Free fluid in the right paracolic gutter.
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The scan, however, did reveal a large volume of intra-abdominal free fluid (Figure 2).
CT of the abdomen. Distended loops of small intestine in the right and left upper and middle quadrants, consistent with small-bowel obstruction. There is an associated moderate volume of interloop ascites within the small-bowel mesentery.
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This scan identified multiple dilated loops of small bowel, consistent with small bowel obstruction (Figure 3), and twisting of the small-bowel mesentery around the axis of the superior mesenteric artery (SMA) in a classic whirl sign consistent with midgut volvulus (Figure 4).
CT of the abdomen. Whirl sign at the base of the mesentery around the superior mesenteric artery consistent with midgut volvulus.
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This scan identified multiple dilated loops of small bowel, consistent with small bowel obstruction (Figure 3), and twisting of the small-bowel mesentery around the axis of the superior mesenteric artery (SMA) in a classic whirl sign consistent with midgut volvulus (Figure 4).