WebJun 1, 2007 · Synopsis: Mesenteric swirl is the best indicator of internal hernia after laparoscopic Roux-en-Y gastric bypass, and even minor degrees of swirl should be considered suspicious. Source: Lockhart ME, et al. Internal hernia after gastric bypass: Sensitivity and specificity of seven CT signs with surgical correlation and controls. WebFeb 1, 2024 · The mesenteric root lies along a line running diagonally from the duodenojejunal flexure to the right sacroiliac joint. It crosses over the third part of the duodenum, aorta, inferior vena cava, right ureter and right psoas major muscle. Its average length is 15 cm, while the intestinal attachment of the mesentery is the same length as …
Whirl Sign and Midgut Volvulus: An Unusual Cause of an Acute ... - Hindawi
WebPost gastric bypass anastomosis with marked mesenteric vessels swirling, engorgement and stretching distal to the jejuno-jejunal anastomosis, abrupt beaking of the distal jejunal loop and abnormal clustering of dilated small bowel segment measures about 3.8 cm diameter and 8 cm length showing small bowel fecal sign and mildly increased wall … WebApr 3, 2024 · Midgut volvulus occurs as a complication of intestinal malrotation. Normal intestinal rotation results in: a duodenal loop that crosses the midline. the DJ flexure to the left of midline at the level of the pylorus. central small bowel. the cecum in the right iliac fossa. peripheral large bowel. Malrotation describes the situation where this ... hds newcastle
Swirl Sign — Intestinal Volvulus after Roux-en-Y …
WebMesenteric swirl was the best single predictor of hernia; sensitivity was 61%, 78%, and 83%, and specificity was 94%, 89%, and 67% for the three reviewers. ... We therefore designed a study for retrospective evaluation of the sensitivity and specificity of seven CT signs. Swirling of the mesentery was the best-performing single sign in our ... WebSep 30, 2016 · The decision tree with the highest overall accuracy and sensitivity for diagnosis of internal hernia in patients who have undergone laparoscopic Roux-en-Y gastric bypass surgery included the mesenteric swirl sign and small bowel obstruction, the model with the highest specificity included superior mesenteric vein “beaking” and small bowel … WebThere was substantial inter-observer agreement in detecting mesenteric swirl sign (kappa=0.48-0.79), but agreement was relatively poor for all other signs. Conclusion: Mesenteric swirl is an easily recognized CT sign, and is the best indicator of internal hernia following Roux-en-Y gastric bypass surgery. Other reported CT signs are ... golden touch of new york inc