Sigmoid volvulus


Slightly atypical appearance of sigmoid volvulus - proximal large bowel obstruction is usually described with this condition. On this study and an earlier CT there is plenty of redundant sigmoid colon (with about 1 m involved in this volvulus), which is a predisposing factor.

This case was managed with decompression by flexible sigmoidoscopy. Typical for sigmoid volvulus, he soon represented with recurrent distention and volvulus.