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Surgery Intestinal obstruction 7a162615

A 70 years old male was brought to the emergency with colicky pain in lower abdomen & non-passage of feces and flatus. The abdominal X-ray findings are given below. Which of the following is the preferred treatment option for this patient?

A
Colonoscopic detorsion
B
Elective sigmoid colectomy
C
Paul-Mikulicz operation
D
Colonoscopic detorsion followed by elective sigmoid colectomy
High-Yield Explanation
Given Abd X-ray - Coffee bean sign / Omega sign / Bent inner tube | Sigmoid volvulus TREATMENT:- Colonoscopic detorsion After 3 days sigmoid colectomy Ischemia / strangulation / perforation - Emergency condition | Immediate colonic resection

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