The whirl sign: a non-specific finding of mesenteric rotation

Australas Radiol. 1996 May;40(2):136-9. doi: 10.1111/j.1440-1673.1996.tb00367.x.

Abstract

The whirl sign has been described as a computed tomography (CT) finding of volvulus of the gut. Six cases are presented with a range of clinical diagnoses (a volvulus, adhesive obstruction with volvulus and previous left hemicolectomy, adhesions alone, transverse colectomy, and right hemicolectomy). All demonstrated a whirl sign. A further case simulating a whirl sign is also presented. We propose that the whirl sign, although a finding highly suggestive of volvulus, can occur in any situation that produces rotation or twisting of bowel and its mesenteric attachment.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Intestinal Obstruction / diagnostic imaging*
  • Intestine, Small / diagnostic imaging
  • Male
  • Mesentery / diagnostic imaging*
  • Middle Aged
  • Peritoneal Diseases / diagnostic imaging
  • Postoperative Complications / diagnostic imaging
  • Tomography, X-Ray Computed