PMC7705807_01
Coronal view of magnetic resonance imaging abdomen demonstrating an upside-down U-shape
dilated sigmoid loop in the left upper quadrant giving a "coffee-bean" appearance. Fetus
can also be seen in the image.
10.1177_2324709620975939-fig1.jpg
PMC7705807_01_10.1177_2324709620975939-fig1.jpg
fig1-2324709620975939
Magnetic resonance imaging of the abdomen revealed large bowel distention with abrupt transition point in the region of the distal descending and proximal sigmoid colon with swirling of mesentery and collapse of distal sigmoid and rectum highly suggestive of SV without free intraperitoneal air (Figure 1).
Endoscopic view of the classic "whirl sign" with a spirally twisted viable appearing
colonic mucosa.
10.1177_2324709620975939-fig2.jpg
PMC7705807_01_10.1177_2324709620975939-fig2.jpg
fig2-2324709620975939
SV with the distal point of torsional obstruction in the distal sigmoid colon showing the classic "whirl sign" with a spirally twisted viable appearing colonic mucosa (Figure 2). Successful complete decompression was achieved by advancing the endoscope proximal to the volvulus followed by endoscopic suctioning of gas and liquid stool, and finally a 14-French soft rectal tube placement left to gravity.