Sigmoid volvulus

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Constipated one day.

Patient Data

Age: 80 years
Gender: Male
x-ray

Bean shaped dilated loop of large bowel with apex pointing to the RUQ. Rectal tube in situ.

Case Discussion

Findings are consistent with a sigmoid volvulus (also proven on CT). This x-ray was taken after attempt decompression, which was obviously unsuccessful. 

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