Sigmoid volvulus

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Two-days history of increasing abdominal pain and distension.

Patient Data

Age: 80 years
Gender: Female

Abdominal X-ray

x-ray

Grossly-dilated loop of large bowel in keeping with a sigmoid volvulus. 

Case Discussion

Sigmoid volvulus is a cause of large bowel obstruction and occurs when the sigmoid colon twists on the sigmoid mesocolon.

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