Sigmoid volvulus

Case contributed by Hidayatullah Hamidi


Acute left hemi-abdominal pain for four days.

Patient Data

Age: 30 years
Gender: Male
  • 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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.