Sigmoid volvulus

Case contributed by Dr Hidayatullah Hamidi

Presentation

Acute left hemi-abdominal pain for four days.

Patient Data

Age: 30 years
Gender: Male
CT
  • Coffee bean sign is seen in the topogram.
  • In CT images large gas-filled loop is seen (the sigmoid colon- 12 cm in diameter) lacking haustra, forming a closed-loop obstruction.
  • whirl sign┬áis present evident by twisting of the mesentery and mesenteric vessels

No discreet mass lesion. No bowel perforation. Rest of the bowel loops are normal.

Case Discussion

Typical case of sigmoid volvulus.

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Case information

rID: 83397
Published: 21st Oct 2020
Last edited: 24th Oct 2020
Inclusion in quiz mode: Included