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{
    "pk": 838,
    "title": "Abdominal Computed Tomography with a Twist:  The ‘Whirl Sign’ for Mesenteric Volvulus",
    "subtitle": null,
    "abstract": "Case Presentation:\n A 55-year-old woman with a history of end-stage renal disease, peripheral vascular disease, and multiple prior abdominal surgeries presented to the emergency department with three days of diffuse, severe, abdominal pain with accompanying nausea, emesis, and food intolerance. A computed tomography (CT) of her abdomen demonstrated a “whirl” of small bowel and mesenteric vessels, raising suspicion for mesenteric volvulus and resultant small bowel obstruction.\nDiscussion:\n Mesenteric volvulus is a low incidence, high mortality condition; therefore, early recognition and operative intervention are critical. Patients with a “whirl sign” on CT are more likely to require surgical intervention for their small bowel obstruction.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Volvulus"
        },
        {
            "word": "whirl sign"
        },
        {
            "word": "bowel obstruction"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6k53c040",
    "frozenauthors": [
        {
            "first_name": "Jodi",
            "middle_name": "",
            "last_name": "Spangler",
            "name_suffix": "",
            "institution": "University of Washington, School of Medicine, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Jonathan",
            "middle_name": "",
            "last_name": "Ilgen",
            "name_suffix": "",
            "institution": "University of Washington, School of Medicine, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2020-05-19T07:00:36+08:00",
    "date_accepted": "2020-05-19T07:00:36+08:00",
    "date_published": "2020-05-19T07:01:25+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/838/galley/590/download/"
        }
    ]
}