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FIOF 12-02-2021.png
FIOF 12-02-2021 CT.png

Figure it out fridays 

#37

A 28-year-old man with Down's syndrome, admitted to the emergency department for intense abdominal pain with vomiting and obstipation, evolving for 3 days. On admission, the patient was anxious, asthenic with polypnea and and hypotension. The abdomen distended, tender and tympanic on palpation. Abdominal computed tomography (CT) scan: a whirl sing and significant distension of the sigmoid loop. Emergency laparotomy was done and findings as shown in the image. What is the most accurate diagnosis? 

A. Mesenteric ischemia

B. Ileo sigmoid knot

C. Internal hernia

D. Sigmoid Volvulus

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