45 y/o with Vomiting

45-year-old patient presented with complaints of vomiting for a few days.

Figure 1. Dilated small bowel loops.

Figure 2. Dilated small bowel loops.

Figure 3. Dilated small bowel loops.

Figure 4. Dilated small bowel loops.

Figure 5. Dilated small bowel loops.

Figure 6. Twisting of bowel around mesentery (marker arrows).

Figure 7. Twisting of bowel around mesentery (marker arrows).

Diagnosis: Small bowel obstruction with whirlpool sign

CT showed dilated bowel loops in right upper abdomen.

Whirlpool sign is seen when a structure twists upon itself.