Sigmoid Volvulus in an African Population

Acute sigmoid volvulus in a West African population.

BACKGROUND Acute sigmoid volvulus is one of the commonest causes of benign large bowel obstruction. Its incidence varies considerably from one geographic area to another. OBJECTIVE To review the management of acute sigmoid volvulus in a relatively high prevalence area. METHODS All adult patients with acute sigmoid volvulus seen at the Royal Victoria Teaching Hospital (RVTH) Banjul, between ...

Classification of Sigmoid Volvulus

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...

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...

Sigmoid colon volvulus in pregnancy: a case report

Background: Sigmoid volvulus is a rare complication in pregnancy. The clinical presentation is similar to that of non-pregnant volvulus, although the symptoms can be masked by the enlarged uterus and physiological changes during pregnancy and it can be challenged and delayed in diagnosis and treatment. Delay in diagnosis can also lead to ischemia, necrosis and perforation of the intestine, whic...