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Small Bowel Volvulus with the Typical Barber Pole Sign | Synapse

April 16, 2026Open Access

Small Bowel Volvulus with the Typical Barber Pole Sign

Key Points

To illustrate the presentation and imaging features of small bowel volvulus, specifically the barber pole sign in an elderly patient.
Case report of an 84-year-old woman with abdominal pain.
Utilization of contrast-enhanced computed tomography for imaging.
Laparotomy performed for diagnosis confirmation.
CT revealed whirlpool sign and barber pole sign indicative of small bowel volvulus.
Surgery confirmed the diagnosis of secondary small bowel volvulus.

Abstract

An 84-year-old woman with a history of hilar cholangiocarcinoma surgery presented with acute abdominal pain.Contrast-enhanced computed tomography (CT) demonstrated the pathognomonic features of small bowel volvulus (SBV): the whirlpool sign (Picture 1) and the barber pole sign (Picture 2).Laparotomy confirmed secondary SBV caused by

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Cite This Study

Yoshihara et al. (Thu,) studied this question.

synapsesocial.com/papers/69e07c1e2f7e8953b7cbd80b https://doi.org/https://doi.org/10.2169/internalmedicine.7333-26

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