I would like to share a case which we treated during my surgery residency in a government medical college. A 19-year male patient came to us with the complaint of abdominal pain and vomiting since 2-3 days. Initially, the patient was treated by some local practitioner but the complaint doesn't resolve and there was an increase in the severity of symptoms. On admission, the patient was having to sever abdominal distension with hypotension and breathing difficulty.
Routine blood investigations were near normal. USG investigation was showing dilated bowel loops, X ray abdomen standing was done and shown a dilated large bowel in the left side and folded (coffee bean sign) suggestive of sigmoid volvulus most likely. The case was informed to senior surgeon and emergency laprotomy was planned. On laprotomy, there was hugely dilated left colon and sigmoid colon due to volvulus of the left side…
