CT - CT abdomen
Coronal C+ portal venous phase
Coronal C+ portal venous phase
Sagittal C+ portal venous phase
Findings:
- a sigmoid volvulus is present
- twist in the sigmoid and sigmoid mesentery is located 13cm above the anal verge
- associated with moderate dilatation of the sigmoid proximally measuring 13cm in diameter
- the entire large bowel is also dilated with gas and faeces to the level of the competent ileocecal valve
- small bowel and duodenum unremarkable
Conclusion:
- sigmoid volvulus with large bowel obstruction
- no perforation