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
From the case:
Sigmoid volvulus
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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.