Sigmoid volvulus

Case contributed by Dr Bruno Di Muzio

Patient Data

Age: 83
Gender: Male

CT Abdomen and pelvis

Ct scout shows a marked distention of the sigmoid colon that assumes a coffee bean–like configuration.

Case Discussion

Sigmoid volvulus is abnormal twisting of the sigmoid colon along its mesenteric axis that causes closed-loop obstruction and can lead to ischaemia, perforation, and death. 

The coffee-bean sign is a sign on an abdominal plain film of a sigmoid volvulus although some authors have also used the term to refer to closed loop small bowel obstructions. 

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Case information

rID: 19600
Case created: 28th Sep 2012
Last edited: 9th Sep 2015
Inclusion in quiz mode: Included

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