ABPS General Surgery Practice Questions - ABPS General Surgery Certification Examination Exam

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An 80-year-old presents with massive abdominal distention and a 'coffee bean' sign on plain film. CT confirms sigmoid volvulus without bowel ischemia. What is the appropriate first step?

Emergency sigmoidectomy with colostomy Endoscopic detorsion with rectal tube placement followed by elective sigmoidectomy during the same admission No treatment Bowel rest only

Correct Answer:

Endoscopic detorsion with rectal tube placement followed by elective sigmoidectomy during the same admission

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