Sigmoid volvulus. Case presentation
Abstract
Sigmoid volvulus is referred to intestinal obstruction caused by torsion of a sigmoid loop around the mesenteric axis. Sigmoid volvulus usually occurs in patients between 40 and 70 years of age, markedly predominant in males, since the greater breadth of the pelvis in women allows the disappearance of the volvulus more easily in case of twisting. The purpose of this article is the clinical presentation of a 46 year old male patient with diagnosis of intestinal obstruction by sigmoid volvulus. The treatment is discussed, considering various forms, among them the endoscopic treatment in the acute phase and then definitive surgery; others carried out segmental resection and primary anastomosis and some of them leand toward resection and end colostomy for restitution in the second time. The patient underwent emergency surgery carrying out resection of the necrotic segment and Hartmann colostomy. Colostomy closure was carried out in an elective way.
Downloads
References
Estepa Pérez J, Santana Pedraza T, Estepa Torres J. Manejo del vólvulo de sigmoides en tres hospitales integrales comunitarios de la misión médica cubana en Bolivia. Medisur [Internet]. 2013 [citado 2014 Feb 9]; 11(1):[aprox. 6 p.]. Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/2370
Sierra Enrique E, Bermúdez Chávez F, Almenares Lombillo N. Vólvulo del sigmoides. Morbilidad. Estudio de 63 pacientes. Rev Cubana Cir 1998; 37(1):21-26.
Rodríguez Fernández Z, Valcárcel Rosabal I, Deulofeu Betancourt B. Vólvulo del sigmoides. Estudio de seis años. MEDISAN 1997; 1(1):11-16.
Maddah G, Kazemzadeh GH, Abdollahi A, Bahar MM, Tavassoli A, Shabahang H. Management of sigmoid volvulus: options and prognosis. J Coll Physicians Surg Pak. 2014; 24(1):13-7.
Maya M, Espinoza JC, Castro F, Giunippero A, Aulet FJ. Vólvulo del colon sigmoide. Signo del grano de café. Medicina (Buenos Aires). 2010; 70: 371.
Ladizinski B, Amjad H, Rukhman E, Sankey C. The coffee bean sign and sigmoid volvulus in an elderly adult. J Am Geriatr Soc. 2013; 61(10):1843-4.
Gingold D, Murrell Z. Management of colonic volvulus. Clin Colon Rectal Surg. 2012; 25(4):236-44.
Quevedo Guanche L. Vólvulo del sigmoides: diagnóstico y tratamiento. Rev Cubana Cir [Internet]. 2007 [citado 3 Mar 1014]; 46(3): [aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-74932007000300016&script=sci_arttext
Downloads
Published
How to Cite
Issue
Section
License
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
