Sigmoid volvulus

1,862 views

Published on

Elderly male with an acute onset of abdominal distention.

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,862
On SlideShare
0
From Embeds
0
Number of Embeds
5
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Sigmoid volvulus

  1. 1. Diagnostic Radiology 11/09/2011Elderly male with acute onset of abdominal distention.
  2. 2. Dilated BowelSmall bowel - >2.5 to 3 cm in diameterColon - > 5cm in diameterCecum - >8cm in diameter
  3. 3. Statistics Bowel ObstructionSmall Bowel Obstruction 80% Large Bowel Obstruction 20%Post-surgical adhesions Colon CA (50-60%)Incarcerated Hernias DiverticulitisAdhesions Volvulus (3-8%) Fecal Impaction Amebiasis Ischemia Adhesions Brant 2006 p 743-745
  4. 4. Sigmoid Volvulus-most common in the elderly & high residue diet-twists around its mesentery-closed loop obstruction-”Large gas filled without haustral markings arising from the pelvis extending into the abdomen”
  5. 5. References• Brant , WE and Helms CA. Fundamentals of Diagnostic Radiology. LWW 2006: 743-745.• Sigmoid volvulus in the Middle East. World J Surg. 2008 Mar;32(3):459-64.

×