Sigmoid volvulus

Case contributed by Dr Sami Elhinnawi

Presentation

Diffuse abdominal pain

Patient Data

Age: 56
Gender: Male
X-ray

Scout image shows the classic coffee bean appearance of sigmoid volvulus.

CT

CT images shows a twist in the pelvic mesocolon. the pelvic colon is grossly dilated with air and fecal matter. there is no evidence of gross mural thickening and the vessels entering the mesocolon shows good opacification.

CT

3D reconstruction

3D reconstruction of the colon demonstrates the sigmoid volvulus

Case Discussion

X-ray demonstrates the classic coffee bean sign of sigmoid volvulus.

CT images demonstrates the twist in the mesocolon.

3D reconstruction images demonstrates the air filled colon and the sigmoid volvulus.

 

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Case information

rID: 54928
Case created: 7th Aug 2017
Last edited: 12th Aug 2017
Inclusion in quiz mode: Excluded

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