Presentation
Abdominal pain and constipation.
Patient Data
Age: 17 years
Gender: Female
From the case:
Sigmoid volvulus
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portal venous phase"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"mohammad farghali tosson","case_id":58568,"case_key_image_id":36254760,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Significant distension of the sigmoid colon measuring up to 10 cm in diameter secondary to twisting of the distal part of its mesentery. No definite signs of intestinal ischemia.
No free fluid or collection.
Case Discussion
This study demonstrates features of a sigmoid volvulus: where there is clockwise rotation of the sigmoid colon and its related vascular pedicle, the scout view shows coffee bean sign.
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