Sigmoid volvulus

Case contributed by RMH Core Conditions

Presentation

Bowels not open three days; distended abdomen; vomiting.

Patient Data

Age: 32
Gender: Male
CT

Extensive gaseous distension of the large bowel, extending from the cecum to the distal sigmoid colon. The transition point lies within the central abdomen, and demonstrates a "bird's beak" appearance and twisting of the mesentery consistent with sigmoid volvulus. No pneumoperitoneum or free intra-abdominal or pelvic fluid.

Atrophic left lobe, otherwise the liver is unremarkable. The spleen, pancreas, kidneys, adrenals and gallbladder have a normal appearance.

Conclusion:

Large bowel obstruction due to sigmoid volvulus.

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Case information

rID: 29815
Case created: 25th Jun 2014
Last edited: 9th Mar 2016
Inclusion in quiz mode: Included

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