Caecal volvulus is a condition characterized by axial torsion of a mobile caecum around its mesentery. The incidence has been reported to range from 2.8 to 7.1 per million people per year. Predisposing factors to caecal volvulus include incomplete rotation of the midgut leaving mobile caecum with...
Since both caecal volvulus and intestinal malrotation are scarce, clinical diagnosis is challenging. Therefore abdominal CT has become mandatory for pre-operative diagnosis of intestinal volvulus. The ‘whirl’ sign, beak sign, intestinal twisting, and the direction of the volvulus have been described...
Colon with enema is an imaging study that has traditionally been used to confirm caecal volvulus,9 and it has a diagnostic precision of 88%1; bird beak sign and the closed-off narrowing of the branch leading from the obstruction are the most common findings.9 This has the advantage of ...
Macari M, Spieler B, Babb J, Pachter HL: Can the location of the CT whirl sign assist in differentiating sigmoid from caecal volvulus? Clin Radiol 66: 112-117, 2011Macari M, Spieler B, Babb J, Pachter HL. Can the location of the CT whirl sign assist in differentiating sigmoid from ...