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A case of sigmoid volvulus
  1. Aikaterini Leventi1,
  2. Thomas Frederick James Clifford1,
  3. Amy Arnold2,
  4. Charles H Knowles2,
  5. Joanne E Martin2
  1. 1 Department of Colorectal Surgery, Barts Health NHS Trust, London, UK
  2. 2 Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
  1. Correspondence to Ms Aikaterini Leventi, Department of Colorectal Surgery, The Royal London Hospital, Whitechapel, London, UK E1 1BZ; ksleventi{at}yahoo.com

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Clinical presentation

A 53-year-old man was admitted with a 2-week history of bowel obstruction on a background of gradually worsening dyspeptic symptoms associated with vomiting and weight loss. He was under regular gastroenterology review for Barrett’s oesophagus and had a recent endoscopic diagnosis of megaduodenum (mainly D1 dilatation) confirmed by barium study (figure 1). He was also known to have bladder emptying problems and an enlarged bladder. His mother died at age 28 due to ‘megacolon’, and he has a monozygotic twin brother with Barrett’s oesophagus.

Figure 1

Barium meal and follow through confirmed dilation of the duodenum with normal small …

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