Sigmoid volvulus

Case contributed by Michael P Hartung


Abdominal pain and distention.

Patient Data

Age: 80
Gender: Male

Coffee bean sign on scout. Volvulus of the distal sigmoid colon, best appreciated on the coronal images. Mild mesenteric edema prior to volvulus. Upstream colonic dilation and stool. Afferent loop makes turn but is not twisted or obstructed. 

Case Discussion

Classic sigmoid volvulus. Notice how much easier it is to see the turning of the volvulus on the coronal reformats. See discussion from the very similar companion case. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.