PMC7599370_01
Radiograph of the chest showing massively dilated bowel loop in left upper quadrant.
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Chest and Abdominal radiographs were obtained and showed a massively dilated large bowel with a "U-shaped" loop in the left upper abdomen, and multiple air-fluid levels suggesting intestinal obstruction due to colonic volvulus (Figs. 1 & 2).
Plain abdominal X-ray in erect position showing multiple air-fluid levels, a dilated bowel loop and gasless rectum.
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Chest and Abdominal radiographs were obtained and showed a massively dilated large bowel with a "U-shaped" loop in the left upper abdomen, and multiple air-fluid levels suggesting intestinal obstruction due to colonic volvulus (Figs. 1 & 2).
Selected images of abdominal CT scan.. A. Axial CT image demonstrating a significant dilatation of the right colon and the transverse colon.. B Axial CT image demonstrating an intra-abdominal free fluid.
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Minimal free fluid was noted in the abdomen and pelvis (Fig. 3).
Intra operative photos demonstrating.. A. Rotation of the transverse colon on its mesentery.. B. Detorsion of the transverse colon volvulus.. C. The point of twist, in the left upper quadrant.. D. The transverse colon was excessively redundant.
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Intra-operatively, rotation of the transverse colon on its mesentery was detected, resulting in a closed loop obstruction (Fig. 4).