PMC9706145_01
Dilated small bowel, multiple fluid levels and pneumoperitoneum on X-ray.
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X-ray of thorax and abdomen showed dilated small bowel, multiple fluid levels and pneumoperitoneum ( Figure 1).
Ileal volvulus: dilated bowel segments associated with whirl sign.
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An abdominal CT scan was performed, revealing distended small bowel loops upstreaming transitional levels like a 'whirl sign' ( Figure 2), a bubbly pattern across the length of the small bowel associated with parietal suffering signs ( Figure 3), abundant pneumoperitoneum ( Figure 4), and a pathological meso-celiac appendix ( Figure 5).
Multiple bubble lesions among ileal loops on Abdominal CT.
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An abdominal CT scan was performed, revealing distended small bowel loops upstreaming transitional levels like a 'whirl sign' ( Figure 2), a bubbly pattern across the length of the small bowel associated with parietal suffering signs ( Figure 3), abundant pneumoperitoneum ( Figure 4), and a pathological meso-celiac appendix ( Figure 5).
Abundant pneumoperitoneum.
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An abdominal CT scan was performed, revealing distended small bowel loops upstreaming transitional levels like a 'whirl sign' ( Figure 2), a bubbly pattern across the length of the small bowel associated with parietal suffering signs ( Figure 3), abundant pneumoperitoneum ( Figure 4), and a pathological meso-celiac appendix ( Figure 5).
The inflammatory appendix.
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An abdominal CT scan was performed, revealing distended small bowel loops upstreaming transitional levels like a 'whirl sign' ( Figure 2), a bubbly pattern across the length of the small bowel associated with parietal suffering signs ( Figure 3), abundant pneumoperitoneum ( Figure 4), and a pathological meso-celiac appendix ( Figure 5).
Ileal loop volvulus, involving a two-and-a-half clockwise turn around a long, pendulous small bowel mesentery.
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A volvulus was found, involving a two-and-a-half clockwise turn around a long, pendulous small bowel mesentery, the strangled bowel was greatly congested ( Figure 6).
At the base of the volvulus, the inflammatory appendix wrapped around the last loop of the ileum.
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At the base of the volvulus, an inflammatory appendix was wrapped around the last loop of the ileum ( Figure 7).
Segmental pneumatosis intestinalis involving the ileal loops.
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Also, multiple gas-filled subserosal cysts, differently sized, on the wall of the ileum were encountered ( Figure 8).