Management of Sigmoid Volvulus Avoiding Sigmoid Resection

Management of Sigmoid Volvulus Avoiding Sigmoid Resection

Acute sigmoid volvulus is typically caused by an excessively mobile and redundant segment of colon with a stretched mesenteric pedicle. When this segment twists on its pedicle, the result can be obstruction, ischemia and perforation. A healthy, 18-year-old Caucasian woman presented to the emergency department complaining of cramping abdominal pain, distention, constipation and obstipation for t...

Emergency resection of sigmoid volvulus.

OBJECTIVES To determine the outcome of emergency resection of sigmoid volvulus and to determine the factors associated with adverse outcome. DESIGN Retrospective case series review. SETTING Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. SUBJECTS All cases of sigmoid volvulus operated at MTRH during the six years period between year 2000-2005. MAIN OUTCOME MEASURES Mortality ...

Management of sigmoid volvulus: options and prognosis.

OBJECTIVE To describe the management of sigmoid volvulus with reference to the type of surgical procedures performed and to determine the prognosis of sigmoid volvulus. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Ghaem Hospital of Mashhad, University of Medical Sciences, Mashhad, Iran, from 1996 to 2008. METHODOLOGY A total of 944 cases of colon obstruction were reviewed. Demo...

Classification of Sigmoid Volvulus

Volvulus of the Sigmoid

Volvulus is possible in any portion of the intestinal tract from the stomach to the sigmoid colon. Thus volvulus of the stomach, due to gastroptosis, an hour-glass contraction or certain kinds of injury, although extremely rare, is known. Volvulus of Meckel's diverticulum when it is persistent is recorded. Similarly volvulus of the small intestines, the ileo-csGcal junction or even of the csecu...