Education and imaging. Gastrointestinal: Cobblestone in sigmoid volvulus.

A 78-year-old man with an emotional disorder was admitted with progressive abdominal distention. He had three episodes of sigmoid volvulus. He refused surgical intervention, so each episode was treated by endoscopic decompression. A physical examination revealed a tympanitic, distended abdomen with hypoactive bowel sounds. There was no fever, rigidity, or… CONTINUE READING