case_images: PMC6526558_01
case_images: US of the abdomen. Gallbladder with no sonographic evidence of cholecystitis or cholelithiasis.
case_images: CRIS2019-2356702.001.jpg
case_images: PMC6526558_01_CRIS2019-2356702.001.jpg
case_images: fig1
case_images: Initial impression was that of acute cholecystitis, and an ultrasound scan revealed a gallbladder with no evidence of cholelithiasis or cholecystitis (Figure 1).
case_images: US of the abdomen. Free fluid in the right paracolic gutter.
case_images: CRIS2019-2356702.002.jpg
case_images: PMC6526558_01_CRIS2019-2356702.002.jpg
case_images: fig2
case_images: The scan, however, did reveal a large volume of intra-abdominal free fluid (Figure 2).
case_images: CT of the abdomen. Distended loops of small intestine in the right and left upper and middle quadrants, consistent with small-bowel obstruction. There is an associated moderate volume of interloop ascites within the small-bowel mesentery.
case_images: CRIS2019-2356702.003.jpg
case_images: PMC6526558_01_CRIS2019-2356702.003.jpg
case_images: fig3
case_images: This scan identified multiple dilated loops of small bowel, consistent with small bowel obstruction (Figure 3), and twisting of the small-bowel mesentery around the axis of the superior mesenteric artery (SMA) in a classic whirl sign consistent with midgut volvulus (Figure 4).
case_images: CT of the abdomen. Whirl sign at the base of the mesentery around the superior mesenteric artery consistent with midgut volvulus.
case_images: CRIS2019-2356702.004.jpg
case_images: PMC6526558_01_CRIS2019-2356702.004.jpg
case_images: fig4
case_images: This scan identified multiple dilated loops of small bowel, consistent with small bowel obstruction (Figure 3), and twisting of the small-bowel mesentery around the axis of the superior mesenteric artery (SMA) in a classic whirl sign consistent with midgut volvulus (Figure 4).