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 ...

Introduction: A duplication cyst in the alimentary tract is a rare congenital anomaly that most often occurs in the small bowel and rarely occurs in the colon. Most cases in the small bowel are diagnosed at childhood due to complications or symptoms caused by the duplication cyst. However, duplication cysts in the colon are often asymptomatic, despite resulting in rare complications, such as ob...

Inadequate splanchnic tissue perfusion is relatively common during and after aortic surgery. We hypothesized that vasodilation caused by thoracic epidural analgesia improves splanchnic blood flow and tissue perfusion after aortic surgery. In this prospective, randomized, controlled study, we studied 20 patients undergoing elective aortic-femoral or aortic-iliac reconstruction surgery. Gastric a...

Sigmoid diverticulitis is a common benign condition which carries significant morbidity and socioeconomic burden. This article describes the management of sigmoid diverticulitis with a focus on indications for surgical intervention. The mainstay of management of uncomplicated diverticulitis is broad-spectrum antibiotic therapy. The old surgical dictum that two episodes of sigmoid diverticulitis...

Treatment of recurrent sigmoid volvulus is a major challenge in frail and elderly patients with multiple co-morbidities. Early management involves endoscopic decompression with high success rate, however, its recurrence make it a real challenge as most of these patients are not suitable for major colonic resection. The aim of this study was to assess the role of percutaneous endoscopic colostom...

The use of computed tomography colonography or virtual colonography (VC) is gaining acceptance as a screening modality for colon cancer. A comprehensive understanding of VC complications is limited. We report a case of colon perforation in a patient where a colon cancer was diagnosed using VC colonography with manual insufflation. A 79-year-old patient underwent a VC after a failed screening op...

BACKGROUND Typhoid fever is a severe infective disease endemic in the areas where sanitation is poor. Its serious complication is bowel perforation with terminal ileum as the commonest perforation site. We report a case of an extremely unusual site of perforation in sigmoid colon due to typhoid fever. METHODS An 18-month-old boy presented with no passage of flatus and feces along with guardin...

INTRODUCTION Although endometriosis with sigmoid serosal involvement is not uncommon in women of childbearing age, the mucosal and lymph node involvement is rare and differential diagnosis from colon cancer and diverticulitis may be difficult due to poor diagnostic accuracy of colonoscopy and colonic biopsies. CASE PRESENTATION We present a case of a nulliparous woman presenting with large bo...

A 59-year-old woman presented with a history of intermittent abdominal discomfort associated with bloody bowel movements. Physical examination was notable for mild suprapubic tenderness. A colonoscopy revealed a submucosal tumor with a necrotic tip, which was nearly obstructing the colonic lumen in the sigmoid (Figure 1). An abdominal/pelvic computed tomography (CT) showed a colonic mass with a...