PMC9198446_01
"Whirl" radiological sign of volvulus, involving mesenteric fat, pancreas's tail, and the splenic venous axis.
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F1
The ileum appeared twisted around his vascular pedicle matching the "whirl" radiological sign of volvulus (Figure 1).
Increased spleen size, caudalized and with reduced enhancement after MDC. Noted also intra-abdominal overflow.
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F2
Spleen size was increased but showed reduced enhancement after intravenous administration of contrast media (expression of reduced vascular supply) (Figure 2).
Marked overdistension of loops with contralateral dislocation of heart and middle-inferior mediastinum.
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F3
The left diaphragm was not observable because of the marked intestinal overdistention that misplaced both the heart and the mediastinum (Figure 3).
Median sub-umbilical laparocele.
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F4
Sub-umbilical laparocele was confirmed (Figure 4).