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  • Title: The whirl sign in caecal volvulus: a decisive diagnostic clue.
    Author: Rappaport A, Roland T, Pringot J, Billemont MF, Ghijselings L, Van Campenhoudt M.
    Journal: JBR-BTR; 2007; 90(6):532-4. PubMed ID: 18376772.
    Abstract:
    The case of a 35-year-old woman with acute right flank pain, right iliac fossa pain, nausea and vomiting for 6 hours is presented. Plain abdominal radiography and CT scan were performed to find the etiology. These exams showed no signs of colonic obstruction but thickened non-enhancing wall of caecum with ascites was suggestive for ischemia. The whirl sign depicted on CT was the decisive feature for the diagnosis of caecal volvulus.
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