Underdiagnosed Distal Colonic Volvuli on MDCT Imaging

Mitesh Kumar, Siddharth Saravanan Vijayakumar, Bhawna Dev

Dept of Radiology, Sri Ramachandra Medical College and Hospital, Chennai, India.

DOI: 10.4236/ss.2014.53020                

Abstract

Volvuli affecting the distal colon, specifically the splenic flexure onwards is underdiagnosed pathologies with non-specific clinical features. Delay in diagnosing these pathologies can lead to significant morbidity and mortality in terms of ischemia and perforation of bowel. Multi detector computed tomography (MDCT) with intravenous contrast is an accurate and reliable imaging modality allowing prompt diagnosis and management. We present an overview of the radiological features found in acute presentations of different types of colonic volvuli.

Keywords

Splenic Flexure; Volvulus; Ileosigmoid Knot; Sigmoid Colon; Multi Detector Computed Tomography

Conflicts of Interest

The authors declare no conflicts of interest.

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