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Document Details :
Title: Braken en abdominale pijn bij een 60-jarige vrouw
Author(s): BELKHOURIBCHIA J, ILSEN B, MANA F, VAN EETVELDE E, LACOR P
Journal: Tijdschrift voor Geneeskunde
Volume: 65 Issue: 24 Date: 2009
A 60-year-old woman with vomiting and abdominal pain.
A 60-year-old woman presented at the emergency room with vomiting, persisting abdominal pain and constipation since 3 days. The patient had no relevant history and she was not on any medication. The abdomen was asymmetrically swollen and painful at palpation. The laboratory results showed raised inflammatory signs, and an X-ray of the abdomen demonstrated a coffee-bean shaped distention of the sigmoideum. The diagnosis of sigmoid volvulus was confirmed by a computed tomography of the abdomen. A colonoscopic devolvulation was executed. Ten months later a relapse occurred. A colonoscopic devolvulation was performed, followed by elective sigmoidectomy.