Sigmoid volvulus

✍ Scribed by Dhana Rekha Selvaraj; Chandrasekar Palaniswamy

• Publisher: John Wiley and Sons
• Year: 2010
• Tongue: English
• Weight: 95 KB
• Volume: 5
• Category: Article
• ISSN: 1553-5592
• DOI: 10.1002/jhm.577

✦ Synopsis

A 63-year-old man with multiple medical problems was transferred from a nursing home to the emergency room with progressively worsening diffuse abdominal pain of 3 days' duration. His vital signs were significant for heart rate of 94 beats per minute, blood pressure of 126/84 mmHg, respiratory rate of 20 breaths per minute, and oxygen saturation of 98% on room air. Abdominal examination showed diffuse tenderness in all quadrants. Active bowel sounds were heard; guarding or rigidity was absent. Examination of respiratory and cardiovascular system was unremarkable. His laboratory tests showed leukocytosis with left shift. Topogram done for planning computed tomography (CT) scan of abdomen (Figure 1