Clinics in diagnostic imaging (105)

CT Wai, G Lau, CJL Khor
Correspondence: Dr Chun-Tao Wai, waict@nuh.com.sg

ABSTRACT
An 89-year-old woman was admitted for intestinal obstruction. Her abdominal radiograph showed typical features of sigmoid volvulus. Decompression was done successfully through careful flexible sigmoidoscopy with minimum air insufflation. The patient's symptoms were relieved and she was discharged two days post-procedure. No recurrence was noted at extended follow-up. Rapid diagnosis and early decompression are key to optimal management of sigmoid volvulus.

Keywords: air insufflation, intestinal obstruction, sigmoid colon, sigmoidoscopic decompression, volvulus
Singapore Med J 2005; 46(9): 483-488