A Rare Cause of Sigmoid Volvulus: Giant Fecaloma from Buprenorphine-Induced Constipation (ACG 2026) - Aug 29, 2026 - Abstract #P4853; Pres time: Oct 13, 2026; 10:30 AM - 04:00 PM; Location: Exhibit Halls A - D (Level 3); "He was started on linaclotide as an inpatient but left against medical advice prior to colonoscopy...Figure: Axial CT of the abdomen and pelvis demonstrating the mesenteric whirl sign (arrow) with adjacent swirling of mesenteric vessels and fat, consistent with sigmoid volvulus in the setting of a giant fecaloma. Figure: Sagittal CT of the abdomen and pelvis demonstrating a giant fecaloma occupying the rectum and sigmoid colon with significant colonic distension, illustrating the extensive fecal burden that served as the nidus for sigmoid volvulus."
CNS Disorders • Constipation • Epilepsy • Gastroenterology • Gastrointestinal Disorder • Immunology • Substance Abuse
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Alyson Auriemma MD 1; Sean-Patrick Prince MBBS MPH 1; Drew Triplett DO 2
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