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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A 72-year-old man presented with a first episode of intestinal obstruction. He had had a prior suprapubic prostatectomy through a low midline incision. Abdominal X-ray showed a large dilated loop of colon extending from left lower quadrant to right upper quadrant. A diagnosis of sigmoid volvulus was made based on the orientation of the loop (see cecal bascule). The volvulus was hydrostatically reduced with gastrografin enema.
A D V E R T I S E M E N T
The patient was taken to the operating room for elective sigmoid resection. The patient was placed in modified lithotomy position in case the end-to-end stapler was needed for the anastomosis.
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A D V E R T I S E M E N T
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The abdomen was opened through a small midline incision.
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This page was last modified on 9/18/2003.
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