{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T16:25:55Z","timestamp":1761582355435,"version":"3.41.2"},"reference-count":3,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>A whirl sign on contrast\u2010enhanced abdominal CT scan is indicative of intestine twisted around the mesenteric vessels, and is observed in cases of strangulated obstruction, signaling compromised intestinal circulation. In cases of intestinal volvulus, surgery is necessary to untwist the affected bowel, and resection is necessary if necrosis is present.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>A 31\u2010year\u2010old Japanese man presented with acute lower abdominal pain and vomiting. Contrast\u2010enhanced abdominal computed tomography (CT) revealed a 1440\u2010degree clockwise torsion of superior mesenteric artery and a whirl sign. Intestinal volvulus in adulthood with a background of malrotation is extremely rare. Contrast\u2010enhanced CT is effective for diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.9022","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T10:49:11Z","timestamp":1717757351000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Quadruple (1440 degrees) intestinal volvulus"],"prefix":"10.1002","volume":"12","author":[{"given":"Jun","family":"Kakisako","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine Kawasaki Municipal Tama Hospital  Kawasaki Kanagawa Japan"},{"name":"Department of General Internal Medicine St. Marianna University School of Medicine  Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Otsuki","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine Kawasaki Municipal Tama Hospital  Kawasaki Kanagawa Japan"},{"name":"Department of General Internal Medicine St. Marianna University School of Medicine  Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Asakura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and General Surgery Kawasaki Municipal Tama Hospital  Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological and General Surgery St. Marianna University School of Medicine  Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenya","family":"Ie","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine Kawasaki Municipal Tama Hospital  Kawasaki Kanagawa Japan"},{"name":"Department of General Internal Medicine St. Marianna University School of Medicine  Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4313-6592","authenticated-orcid":false,"given":"Kosuke","family":"Ishizuka","sequence":"additional","affiliation":[{"name":"Department of General Medicine Yokohama City University School of Medicine  Yokohama Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-021-02959-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196902000-00014"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.140.1.7244217"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.9022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T06:40:46Z","timestamp":1720680046000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.9022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":3,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/ccr3.9022"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.9022","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"2024-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e9022"}}