Sigmoid volvulus

Case contributed by Andrew Kirby
Diagnosis certain

Presentation

Sudden onset abdominal pain, coffee ground vomiting and pyrexia. Failure to open bowels or pass flatus since onset of pain.

Patient Data

Age: 70 years
Gender: Male
x-ray

Distended colon arising from low within the pelvis and extending to left upper quadrant. Coffee bean shape and loss of haustral fold pattern. Unusually, the proximal colon is non-distended. Subsequent CT confirms sigmoid volvulus.

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