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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does the following CT Scan Test Result Mean?

hello sir dats my sis's CT scan report shez having severe pain in stomach from last 2-3 days
we consulted some doctor in a govt. hospital and we were told for immediate surgery.so wats the beneficial in this regard.
here is CT scan report


part examined:CT Abdomen
age/sex:24y/F

CECT WHOLE ABDOMEN

Report:-

stomach is distended.the duodenum is prominent.whirlpool pattern is seen with swirling of the proximal jejunal loop,mesentery and vessels around the SMA axis.the caecum is in right iliac fossa.the whirlpool appearence is continuing inferiorly involving the ascending colon and the heptic flexure region,suggestive of volvulus .the orientation of SMA and SMV is altered with SMV on the left of SMA.
liver is normal in size ,shape,attenuation and enhancement.portal vein and IHBR are normal
gallbladder is distended.wall thickness is normal.(to be correlated with USG findings).
spleen is normal in size,shape,attenuation and enhancement.
pancreas shows normal homogeneous attenuation and enhancement.pancreatic duct is not dilated .
both kidneys are normal in site,size,shape and outline with homogeneous attenuation.
no evidence of hydronephrosis is seen
bilateral adrenals are normal in size and attenuation.
urinary bladder is normally distended.
no pre or para aortic lymphadenopathy or ascites.
major vessels show normal enhancement.
Impression:- CT findings are suggestive of:
malrotation of gut with midgut volvulus(duodeno-jejunal area) which is also involving the ascending colon/hepatic flexure region inferiorly.}}}}


reply soon
Mon, 15 Sep 2014
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General & Family Physician 's  Response
Welcome to Health care magic.

1.The report suggest mal-rotation of the gut showing like a coffee bean appearance or whirlpool pattern is seen when there is map-roataion with stomach babul and jejunum dilated.
2.There is involvement of the ascending colon noted on the CT scan.
3.This is an emergency condition. Hope by the time you will get this message the treatment might have given.
4.See the ER as soon as possible.
5.Operative treatment is generally the treatment of choice. Good luck.

Hope it helps you. Wish you a good health.
Anything to ask ? do not hesitate. Thank you.
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What Does the following CT Scan Test Result Mean?

Welcome to Health care magic. 1.The report suggest mal-rotation of the gut showing like a coffee bean appearance or whirlpool pattern is seen when there is map-roataion with stomach babul and jejunum dilated. 2.There is involvement of the ascending colon noted on the CT scan. 3.This is an emergency condition. Hope by the time you will get this message the treatment might have given. 4.See the ER as soon as possible. 5.Operative treatment is generally the treatment of choice. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? do not hesitate. Thank you.