Sigmoid volvulus

Case contributed by Dr Bruno Di Muzio

Presentation

One day of distension and progressive diffuse abdominal pain. Constipation but no fever or vomiting.

Patient Data

Age: 85 years
Gender: Male
CT

Abdomen X-ray

Markedly dilated bowel in the abdomen, with the apex of the dilated loops pointing toward the right upper quadrant.

CT

CT Abdomen and pelvis

There is a markedly dilated sigmoid colon, with an abrupt transition point at the rectosigmoid junction and swirling of the surrounding mesentery and vessels.

Annotated image

Annotated images.

Case Discussion

Sigmoid volvulus is an abnormal twisting of the sigmoid colon along its mesenteric axis that causes closed-loop obstruction and can lead to ischaemia, perforation, and death. 

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Case information

rID: 17788
Published: 12th May 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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