Presentation
Abdominal distension.
Patient Data
Age: 85 years
Gender: Female
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Classic coffee bean shaped dilated viscus rising up from the pelvis, highly suggestive of sigmoid volvulus.
From the case:
Sigmoid volvulus
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Crisscrossing of the proximal and distal limbs of the sigmoid colon indicates sigmoid volvulus. Whirl sign of sigmoid mesentery best seen on the coronal images. No pneumatosis intestinalis or free air. No bowel wall thickening or focal fluid collection. The small bowel is not dilated.
Case Discussion
Classic example of sigmoid volvulus with characteristic radiographic coffee bean sign and CT whirlpool or whirl sign.
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