X ray finding of a bowel obstruction:

Ever heard of the Coffee Bean Sign?

X ray image compliments of Radiopaedia - Contributed by Dr Wael Nemattalla

Sigmoid Volvulus

This is seen in sigmoid volvulus and is also called the inverted 3 sign.  This dilated bowel is created when the sigmoid colon torses on itself.

Here are some other examples of sigmoid volvulus x rays:

X ray compliments of Radiopaedia - Contributed by Dr Wael Nemattalla

What kind of volvuli are these?

I will give you a hint, it makes up 11% of all intestinal volvulus.

X rays thanks to Radiopaedia, Contributed by Dr Jeremy Jones & Dr Frank Gaillard (FRANZCR)

Cecal Volvulus – Large Bowel Obstruction

Unrecognized this can result in bowel perforation and peritonitis.

Occurs in patient 30-60 years old.

Risk factor may include previous abdominal surgery,  pelvic mass, violent coughing, extreme exertion, unpressurized air travel, third-trimester pregnancy, or decreased tone of colon.

Patients present to the Emergency Department with abdominal pain (colicky), vomiting, and abdominal distention.

Treatment typically includes laporotomy and right hemicolectomy but, colonoscopic decompression may be considered in patient that would not tolerate surgery well.