Sigmoid volvulus

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Chronic bowel problems, cerebral palsy. Distended abdomen and pain.

Patient Data

Age: 65 years
Gender: Male
x-ray
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Info

Gas-filled dilated large bowel, with the sigmoid colon distended and demonstrating the coffee-bean sign. No pneumatosis or free gas.

Case Discussion

Classic AXR appearances of sigmoid volvulus.

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