Two years prior to the current admission, a 29-year-old man presented with a history of chronic constipation. Workup included flexible sigmoidoscopy, upper GI series, Sitzmark study and virtual colonoscopy. The sitzmark study showed retention of 6 marker rings (out of 24) (arrows) evenly distributed through the colon.
The virtual colonoscopy reconstruction image showed the sigmoid in a twisted configuration. The patient was diagnosed with colonic inertia and started on a high fiber diet which resulted in one bowel movement per day.
Notes:
Link to this frame from your Personal Thumbnails page?
Yes
No
Click the "Update" button to save your Notes and Personal Thumbnails.