c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Sigmoid Volvulus: 1

A D V E R T I S E M E N T

   
 

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.      

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Sigmoid Volvulus: 2

A D V E R T I S E M E N T

   
 

The scout film for the virtual colonoscopy showed redundant colon, particularly sigmoid.       

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Sigmoid Volvulus: 3

A D V E R T I S E M E N T

   
 

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.       

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This page was last modified on 4/28/2008.