Sigmoid volvulus

Presentation

Abdominal pain and constipation.

Patient Data

Age: 17 years
Gender: Female
CT

Significant distension of the sigmoid colon measuring up to 10 cm in diameter secondary to twisting of the distal part of its mesentery. No definite signs of intestinal ischemia.

No free fluid or collection.

Case Discussion

This study demonstrates features of a sigmoid volvulus: where there is clockwise rotation of the sigmoid colon and its related vascular pedicle , the scout view shows coffee bean sign

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Case information

rID: 58568
Published: 25th Feb 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included
Institution: Assiut University

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