Presentation
Abdominal pain and progressive distension.
Patient Data
Age: 55 years
Gender: Male
From the case:
Sigmoid volvulus
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Grossly dilated loop of sigmoid colon with whirl sign of the sigmoid mesentery is present inferring sigmoid volvulus. A little amount abdominopelvic free fluid is also observed.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Case Discussion
Features are consistent with sigmoid volvulus, which occurs when the sigmoid colon twists on its mesentery, the sigmoid mesocolon.