PMC4972924_01
Abdominal X-ray revealed a dilated sigmoid colon with bilateral diaphragmatic elevation.
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Abdominal X-ray showed a large quantity of sigmoid colon gas and elevated bilateral diaphragm (Fig. 1).
Abdominal CT scan of the patient pre-decompression (a) and post-decompression (b). The arrow shows the inferior vena cava, which was collapsed pre-decompression.
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Meanwhile, the patient's inferior vena cava had collapsed because of the dilated colon (Fig. 2).
Lower abdominal midline laparotomy revealed sigmoid colon was extremity elongated and dilated. Elongated and dilated sigmoid colon (a) and resected sigmoid colon (b).
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The dilated sigmoid colon was successfully resected, and the subsequent reconstruction was done by functional end-to-end anastomosis (Fig. 3).