The Whirl Sign
2003; Radiological Society of North America; Volume: 226; Issue: 1 Linguagem: Inglês
10.1148/radiol.2261011392
ISSN1527-1315
Autores Tópico(s)Pediatric Hepatobiliary Diseases and Treatments
ResumoHomeRadiologyVol. 226, No. 1 PreviousNext Signs in ImagingThe Whirl SignBharti KhuranaBharti KhuranaAuthor Affiliations1From the Department of Radiology, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115. Received August 16, 2001; revision requested October 11; revision received January 14, 2002; accepted January 29. Address correspondence to the author (e-mail: [email protected]).Bharti KhuranaPublished Online:Jan 1 2003https://doi.org/10.1148/radiol.2261011392MoreSectionsFull textPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In References 1 Fisher JK. Computed tomographic diagnosis of volvulus in intestinal malrotation. Radiology 1981; 140:145-146. Link, Google Scholar2 Moore CJ, Corl FM, Fishman EK. CT of the cecal volvulus. AJR Am J Roentgenol 2001; 177:95-98. Crossref, Medline, Google Scholar3 Blathazar EJ, Birnhaum BA, Megibow AJ, Gordon RB, Whelan CA, Hulnick DH. Closed loop and strangulating intestinal obstruction: CT signs. Radiology 1992; 185:769-775. Link, Google Scholar4 Balthazar EJ, Liebeskind ME, Macari M. Intestinal ischemia in patients in whom small bowel obstruction is suspected: evaluation of accuracy, limitations, and clinical implications of CT in diagnosis. Radiology 1997; 205:519-522. Link, Google Scholar5 Shaff MI, Himmelfarb E, Sacks GA, Burks DD, Kulkarni MV. “The whirl sign”: a CT finding in volvulus of the small bowel. J Comput Asst Tomogr 1985; 9:410. Medline, Google Scholar6 Frank AJ, Goffner LB, Fruauff AA, Losada RA. Cecal volvulus: the CT whirl sign. Abdom Imaging 1993; 18:288-289. Crossref, Medline, Google Scholar7 Blake MP, Mendelson RM. The whirl sign: a non-specific finding of mesenteric rotation. Australas Radiol 1996; 40:136-139. Crossref, Medline, Google ScholarArticle HistoryPublished in print: Jan 2003 FiguresReferencesRelatedDetailsCited ByRare Combination of Chyloperitoneum Secondary to Primary Small-Bowel VolvulusDiogoGalvão, RuiBettencourt, Ana CláudiaSoares, InêsBagnari, JoanaBonança2024Feb1 | Cureus, Vol. 79Increased Attenuation of Intestinal Contents at CT Indicates Bowel Necrosis in Closed-Loop Small Bowel ObstructionBing-Qi Li, Wei-Jun Qi, Meng Yuan, Hang-Yan Wang, Ming Chen, Zi-Xiu Song, Qi Li, Lei Li, Bin Jiang, Zhao-Lai Ma, Dian-Rong Xiu, Chun-Hui Yuan, 6 February 2024 | Radiology, Vol. 310, No. 2Wandering Spleen in a Patient With Significant Medical HistoryJohnFrench, Cindy LAustin, Fola ESodade, Zachary TBeam2023Feb27 | Cureus, Vol. 18Adhesive small-bowel obstruction: Conservative versus surgical management?ShikuanLi, YunlongLi2023Jan1 | World Journal of Surgical Infection, Vol. 2, No. 1Sigmoid volvulusAndreaMolinari18 October 2022Small bowel obstruction and intestinal ischemia: emphasizing the 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