A spontaneous strangulated transomental hernia: Prospective and retrospective multi-detector computed tomography findings

Figure 3 Multi-detector contrast-enhanced computed tomography. Coronal (A) and sagittal (B) reformatted 5 mm thick images are shown. In (A) a cluster of ischemic jejunal loops is depicted in the left flank along with mesenteric fluid (arrow). In (B) swirling of the mesenteric vessels (arrow-heads) is depicted. The computed tomography finding (whirl sign) was prospectively considered consistent with a small bowel volvulus which was not confirmed at surgery.