Sigmoid volvulus
Updates to Case Attributes
Sigmoid volvulus is most frequent volvulus in gastro-intestinalthe gastrointestinal tract. The and commonly seen in elderly person is the most commonpatients.
TheThis patient presentpresented with abdominal pain, distention, and absolute constipation.
The determination of timing and nature of surgerySurgery is usually performed when there are suspectedfeatures of bowel ischemia andor failure of sigmoidoscopic reduction of the volvulus.
-<p>Sigmoid volvulus is most frequent volvulus in gastro-intestinal tract. The elderly person is the most common.</p><p>The patient present with abdominal pain, distention and absolute constipation.</p><p>The determination of timing and nature of surgery are suspected bowel ischemia and failure of sigmoidoscopic reduction.</p><p> </p>- +<p><a title="Sigmoid volvulus" href="/articles/sigmoid-volvulus">Sigmoid volvulus</a> is most frequent volvulus in the gastrointestinal tract and commonly seen in elderly patients. </p><p>This patient presented with abdominal pain, distention, and constipation.</p><p>Surgery is usually performed when there are features of bowel ischemia or failure of sigmoidoscopic reduction of the volvulus.</p>
References changed:
- Jeffrey M. Levsky, Elana I. Den, Ronelle A. DuBrow, Ellen L. Wolf, Alla M. Rozenblit. CT Findings of Sigmoid Volvulus. (2012) American Journal of Roentgenology. 194 (1): 136-43. <a href="https://doi.org/10.2214/AJR.09.2580">doi:10.2214/AJR.09.2580</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/20028915">Pubmed</a> <span class="ref_v4"></span>
- https://emedicine.medscape.com/article/373585-overview
- https://www.ajronline.org/doi/full/10.2214/AJR.09.2580
Updates to Study Attributes
Coffee beenbean sign with large bowel dilatation and absence the gas in the rectum.
Updates to Study Attributes
DisproportionProminent sigmoid dilatation with a sigmoidsudden transition point.
Twisting Twisting of the sigmoid mesentery and mesenteric vessels consistent ana whirlpool sign. The upstream colon is also distended.
Absence of gas rectal.
Image 2 CT (C+ portal venous phase) (update)
Image 3 CT (non-contrast) (update)
Image 5 CT (non-contrast) (update)
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