Sigmoid volvulus

Case contributed by Dr Michael P Hartung

Presentation

Abdominal pain and distention.

Patient Data

Age: 80
Gender: Male
CT

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. 

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Case information

rID: 59076
Published: 20th Mar 2018
Last edited: 20th Mar 2018
Inclusion in quiz mode: Included

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