Sudden onset abdominal pain and distension: an imaging sparkler
Klair, J.S.; Girotra, M.; Medarametla, S.; Shah, H.R.
Journal of the Arkansas Medical Society 111(6): 110-111
2014
ISSN/ISBN: 0004-1858 PMID: 25654924 Document Number: 675476
We present a case of a middle-aged patient presenting with acute onset abdominal pain and distension who had signs of bowel obstruction on physical exam. He was afebrile, hemodynamically stable with no peritoneal signs. Abdominal radiograph and CT scan were pathognomic for sigmoid volvulus. Through this case report we want to discuss the presentation, diagnosis, management options for sigmoid volvulus and importance of features suggestive of ischemic bowel that necessitates different management options.