Abstract
A 30-year-old woman was admitted to our hospital with complaints of abdominal fullness and vomiting. She was diagnosed as mechanical ileus diagnosed by various modalities. Therapeutic long intestinal tube was inserted soon after admission. But after that symptoms had not been improved, She was consulted to our department. By the review of CT images, abnormal findings, so called “Whirl sign”, was detected and diagnosed as volvulus of the small intestine. Emergency operation was performed about 7 hours after admission. The small intestine was found to be twisted clock wise by 360 degrees at the root of the superior mesenteric artery. Manual canceration was performed to preserve twisted small intestine. Postoperative course was uneventful and transferred 22days after operation. Ordinally volvulus of the small intestine was diagnosed in infants under 1 year old and rarely in adult like this case. For early detection of this desease, review of various modalities is so important. Especially abdominal CT scan provide useful information for successful diagnosis of this disease.
