Presentation
Acute left hemi-abdominal pain for four days.
Patient Data
Age: 30 years
Gender: Male
From the case:
Sigmoid volvulus
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Coronal Topogram
- coffee bean sign is seen in the topogram.
- a large gas-filled loop is identified, consistent with the sigmoid colon measuring 12 cm in diameter) lacking the normal haustra, forming a closed-loop obstruction.
- whirl sign is 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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