参考

1. イレウス読影勉強会スライド集 - 北九州放射線技師会

勉強になります。

http://kart.or.jp/index.php?%C6%C9%B1%C6%CA%D9%B6%AF%B2%F1%A5%B9%A5%E9%A5%A4%A5%C9%BD%B8

http://kart.or.jp/index.php?plugin=attach&refer=%C6%C9%B1%C6%CA%D9%B6%AF%B2%F1%A5%B9%A5%E9%A5%A4%A5%C9%BD%B8&openfile=0703%B5%DE%C0%AD%CA%A2%BE%C9%A4%CE%B2%E8%C1%FC%BF%C7%C3%C72-1.pdf

2. 論文

http://radiology.rsna.org/content/226/1/69.full.pdf

3. CT - whirl sign

http://www.ajronline.org/content/191/3/743.full

http://radiology.rsna.org/content/245/1/160/F5.expansion

http://www.ajronline.org/content/185/4/1036/F22.expansion

UpToDate Contents

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1. 成人における機械的小腸閉塞の疫学、臨床的特徴、および診断epidemiology clinical features and diagnosis of mechanical small bowel obstruction in adults [show details]
…Ascites; "Target sign"– alternating hypo/hyperdense layers, indicative of intussusception; "Whirl sign" – rotation of small bowel mesentery, suggesting a twist or a volvulus ; "Venous cut-off sign" – venous …
2. 盲腸軸捻転症cecal volvulus [show details]
…tomography (CT) finding of the "whirl sign" (twisting of the mesentery around the ileocolic vessels) is pathognomonic for cecal volvulus . In addition, CT scan may also demonstrate signs of bowel obstruction (a …
3. 成人の運動療法：定義、患者の評価、メディカルクリアランスexercise for adults terminology patient assessment and medical clearance [show details]
…their exercise habits at each visit. This can be done using a physical activity vital sign (PAVS, or exercise vital sign). Clinicians should do their utmost to ensure that all patients exercise regularly …
4. Staphylococcal scalded skin syndromestaphylococcal scalded skin syndrome [show details]
…concurrent cutaneous, conjunctival, or internal staphylococcal infection Positive Nikolsky sign; The Nikolsky sign describes blistering or sloughing of skin in response to gentle mechanical pressure. While …
5. 後十字靱帯損傷posterior cruciate ligament injury [show details]
…knee alignment while the patient is weightbearing. Following inspection, the knee is palpated for signs of injury, although with acute PCL injuries, findings other than effusion may be scant. It is difficult …

English Journal

Whirl sign in sigmoid volvulus.

Yuksel ME, Ozberk O, Ozkan N.
Journal of visceral surgery. 2019 May;().
PMID 31076342

Progressive atrophy in a deformed liver as a contributor to sigmoid volvulus.

Zenda T, Araki I, Hamano N, Sawada E, Nakamiya O, Endo T, Nishida H, Ojima E, Nakano T.
Clinical journal of gastroenterology. 2019 Feb;().
The effect of a prior defect on secondary liver atrophy is unknown. We describe a case of sigmoid volvulus that was facilitated by progressive atrophy in a deformed liver. A 75-year-old man with abdominal pain and fullness was referred to our hospital. Computed tomography (CT) revealed reduced left
PMID 30796695

CT findings of adnexal torsion: A matched case-control study.

Lee MS, Moon MH, Woo H, Sung CK, Oh S, Jeon HW, Lee TS.
PloS one. 2018 ;13(7)e0200190.
The purpose of our study was to assess computed tomographic (CT) findings of adnexal torsion through a matched case-control analysis. This retrospective, single-institution case-control study included 43 women with adnexal torsion and 43 age- and ovarian mass-matched control women. CT images were ev
PMID 29995921

Japanese Journal

絞扼性イレウスの診断に腹部CT が有用であった右側結腸軸捻転症の1例

林知実,横山憲三,東泰志,天辰仁彦,浦田正和,夏越祥次
鹿児島大学医学雑誌 = Medical journal of Kagoshima University 70(1-3), 1-5, 2018-12
… 結腸軸捻転症の術前診断は困難とされているが、自験例でも造影CT検査で腸間膜軸捻転に伴うwhirl signや右側結腸の拡張を確認し、腸管虚血が進行する前に手術を施行できた。 … Although preoperative diagnosis of colon volvulus is often difficult, we could do surgery by confirming the extension of the right colon and whirl sign by CT. …
NAID 120006541992

腸管切除を必要とした小腸多発仮性憩室を伴う腸閉塞の1例

岡本成亮,石山泰寛,中原健太,日高英二,石田文生,工藤進英
日本臨床外科学会雑誌 79(9), 1870-1873, 2018
… 症例は74歳，女性．腹痛，嘔吐を主訴に来院した．腹部CT検査でwhirl signと限局的な小腸の拡張を認めたため絞扼性イレウスを疑い，緊急手術を施行した．炎症性に肥厚した腸間膜を軸に360度捻転しており，Treitz靱帯より20cmから150cmの空腸に多発する仮性憩室を認めた．捻転解除を行い腸管は切除しない方針とした．術後早期に腸閉塞の再発を認めた．イレウス管造影で小腸に狭窄を認め，狭窄部位か …
NAID 130007629044

小腸軸捻転をきたした小腸GISTの１例

光星翔太,浅香晋一,今泉理枝,伊藤嘉智,小池太郎,吉松和彦
日本外科系連合学会誌 43(1), 50-55, 2018
… 85歳，女性．下腹部痛を主訴に近医受診，小腸捻転の診断で当院救急搬送となった．腹部造影CTで右下腹部に4.8×３cm大の不整形腫瘤が存在し，上腸間膜動静脈を中心に腸間膜の動静脈が螺旋を描くwhirl signを認めた．小腸腫瘍による小腸軸捻転の診断で緊急手術となった．開腹すると，Treitz靭帯より60cm肛門側の空腸に，壁外に発育する4.5cm大の腫瘍が存在し，上腸間膜動静脈を回転軸として時計回り …
NAID 130007604615