We report the case of a 74-year-old male with abdominal pain, distention and obstipation for 8 hours. He had a medical history of 24 sigmoid volvulus (SV) episodes, 23 of which treated with endoscopic detorsion, while one resolved spontaneously. Physical examination revealed abdominal distention, tenderness, hyperkinetic bowel sound and an empty rectum. Abdominal X-ray radiograph revealed dilated sigmoid loops with coffee bean sign. Computed tomography demonstrated dilated sigmoid loops with air-fluid levels and mesenteric whirl sign. Flexible colonoscopy showed a spiral-like luminal obstruction of the viable sigmoid colon at 18 cm from anal verge. A successful colonoscopic detorsion was performed. Due to the poor general health status of the patient (American Society of Anesthesiologists-ASA score 4) arising from serious comorbidities including coarctation of aorta and coronary disease, percutaneous endoscopic colostomy was suggested instead of elective sigmoid colectomy. He did not approve adjunctive therapy and was discharged following 24-hour observation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.17235/reed.2024.10624/2024 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Response to comment on: "Comparative analysis of short-term outcomes after semielective and elective surgery for sigmoid volvulus".
Surgery
December 2024
Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NY. Electronic address: http://www.twitter.com/apl2018.
Comment on: "Comparative analysis of short-term outcomes after semielective and elective surgery for sigmoid volvulus".
Surgery
December 2024
Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
A rare case report of ileosigmoid knots that cause intestinal obstruction during Ramadan fasting.
Int J Surg Case Rep
December 2024
Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
Introduction And Importance: This case report aims to highlight the clinical presentation, diagnostic challenges, surgical intervention, and subsequent management strategies of ISK during Ramadan fasting.
Case Presentation: 52-Year-old male with a three-day history of symptoms of intestinal obstruction. He complained of abdominal distention, vomiting, and absolute constipation.
Primary anastomosis versus stoma following urgent sigmoidectomy for sigmoid volvulus: 58-year experience in a tertiary referral center.
Pak J Med Sci
December 2024
Sabri Selcuk Atamanalp, MD Professor, Faculty of Medicine, Department of General Surgery, Ataturk University, Erzurum, Turkiye.
Article Synopsis
- The study evaluated outcomes of primary anastomosis and stoma techniques for restoring intestinal continuity after urgent sigmoidectomy in 1,083 patients with sigmoid volvulus over a 58-year period.
- Results showed that primary anastomosis was used in 45.6% of urgent colectomy cases, leading to better outcomes such as lower rates of complications, shorter hospital stays, and reduced costs compared to stoma.
- However, stoma is often favored for older patients, those with poor health, or risky bowel conditions, suggesting that future studies could provide more clarity on the best approach for different patient profiles.
Three Surgical Cases of Cecal Volvulus.
Cureus
October 2024
Department of Coloproctological Surgery, Juntendo University, Tokyo, JPN.
Cecal volvulus (CV) is a relatively rare disease; however, it often requires emergency surgery due to the low success rate of endoscopic treatment, in contrast to sigmoid volvulus. The mechanism of CV involves a mobile cecum at the base, triggered by factors such as constipation, high-fiber diets, laxative use, history of laparotomy or laparoscopic surgery, pregnancy, and prior colonoscopy, which twists the ileocecal region. Although CV is a benign disease, it can be fatal if treatment is delayed, so it is crucial to understand the pathophysiology and treatment.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!