Sigmoid volvulus

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Painful abdominal distension. No flatus.

Patient Data

Age: 64
Gender: Male

CT Abdomen and Pelvis

ct

Note the twisting of two segments of sigmoid colon at one point, causing intestinal obstruction. Marked gaseous distention of the colon.

Case Discussion

This is a closed loop obstruction of the sigmoid colon due to a volvulus.

 

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