Case 9

A seventy five-year-old female came to our hospital late at night suffering from abdominal pain and vomiting 4 times after dinner. No raw fish was eaten. She previously had hysterectomy due to uterine myoma a few decades ago. Tenderness was found at the area surrounding the naval. Laboratory test revealed white blood cells (WBC) 8780/ mm³; CRP 0.02 mg/dl; neutophils 90.7 % (40-71). After non-enhanced CT, the patient was given with enema of glycerol, evacuating massive stool. On the following day, abdominal pain still remained. The patient received contrast enhanced CT.

What CT findings apply to surgical laparotomy?

a. Whirl sign

b. Beak sign

c. Pneumatosis

d. Closed loop

e. Increasing ascites

1. a b c   2. a c   3. b d   4. d   5. All

answer

2016.06.08