Volvulus X Ray Images. The two commonest types of bowel twisting are sigmoid volvulus and caecal volvulus. Cross sectional images of classic signs and 2 novel imaging signs including x marks the spot and the split wall sign were analyzed.
Rotation of stomach about its short axis more common type in children entire stomach may be herniated type iv paraesophageal hernia peh or only part type iii peh either can result. Upside down stomach occurs in setting of large paraesophageal hernia stomach rotates upward with greater curvature lying above lesser curve mesenteroaxial volvulus. Cross sectional images of classic signs and 2 novel imaging signs including x marks the spot and the split wall sign were analyzed.
Ugi shows an organ axial volvulus note how the stomach has rotated on its vertical axis and the greater curvature is on the upper part.
The contrast x ray shows an organ axial volvulus note the stenosis in the middle of the picture and the two bubbles formed due to the rotation. A specific ct sign for volvulus is the whirl sign which has been described in volvulus of the midgut cecum and sigmoid colon 3. Levsky et al retrospectively reviewed 36 patients with sigmoid volvulus with an aim to evaluate the features of sigmoid volvulus on ct scanograms and cross sectional images. The abdominal x ray can identify the site of the problem with specific signs such as the coffee bean sign or the absence of rectal gas.