RIGHT SIDED SIGMOID COLON AND REDUNDANT DESCENDING COLON ON CONVENTIONAL AND CT IMAGING
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 44
Abstract
CASE PRESENTATION A 62-year-old male presented with history of severe constipation, abdominal distension, haemorrhoids and blood in stool in surgical OPD of Guru Nanak Dev Hospital, Amritsar. The patient was referred for barium studies of colon, which showed a loop of colon in pelvic region (at normal location of ileal loops) and redundant and long descending colon extending across midline to reach hepatic flexure on right and continuing as sigmoid colon on right side. Transverse colon and ascending colon were normal in length and position. On CECT abdomen of the patient, a long segment of descending colon was identified. Its first part stretched obliquely from the splenic flexure to the right side traversing the umbilical quadrant, then it turned right of midline at the level of L5 vertebra. Later it turned upward and toward the right, ascending up to the level of body of L2 vertebra. The third part descended obliquely on the medial side of the ascending colon up to the pelvic brim. The fourth part was in the lesser pelvis and continued as the sigmoid colon in the right iliac fossa. The inferior mesenteric artery was seen arising from right side of ventral surface of abdominal aorta opposite third lumbar vertebra.
Authors and Affiliations
Mandeep Singh, Madhan Kumar, Daisy Gupta
Keywords
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- EP ID EP549268
- DOI 10.14260/jemds/2018/1073
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