Sigmoid volvulus can lead to life-threatening complications. We report a splenic capsule avulsion injury requiring laparotomy as complication of sigmoid volvulus. A 73-year-old woman was admitted with abdominal distension, rigidity, and tenderness. CT abdomen revealed hemoperitoneum along possible The patient required an emergent exploratory due acute hemodynamic instability. left colectomy, on...

1 of 2 DESCRIPTION A 87-year-old gentleman presented as an acute admission with abdominal distension and inability to open his bowels for the preceding 4 days. His co-morbidities included Down’s syndrome, moderate learning disabilities, osteoarthritis and hypertension. He was known to suffer from recurrent sigmoid volvulus which was extensively investigated. Colonoscopy did not reveal any intra...

This is a case of a 54-year-old gentleman who presented to an outside hospital emergency department with lower abdominal pain. Computed tomography imaging showed a small amount of intraperitoneal free air and cystic pneumatosis coli. He was admitted, managed conservatively with intravenous antibiotics, and then discharged home after his symptoms improved. Elective laparoscopic sigmoid colectomy...

Sigmoid volvulus is the third leading cause of colonic obstruction in adults. Surgical resection with primary anastomosis is the standard of care [1]. Endoscopic reduction is a feasible option inpatientswithuncomplicated conditions [2] despite the fact that mechanical detorsion is not always successful, even by skilled hands. Few data are available concerning the role of self-expanding metallic...

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 ...

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...

Received November 17, 2007, Accepted March 13, 2008 Correspondence to: Pyong Wha Choi, Department of Surgery, Inje University College of Medicine, Ilsan Paik Hospital, 2240, Daehwa-dong, Ilsanseo-gu, Goyang 411-706, Korea Tel: +82-31-910-7622, Fax: +82-31-910-7319 E-mail: [email protected] The case of sigmoid volvulus combined with a transomental hernia is reported. A 70-year-old man was adm...

Background Sigmoid volvulus is a rare condition. A high incidence has been reported in debilitated, or chronically constipated patients. It is important to recognize this condition early and then initiate prompt treatment. Endoscopic treatment has a high perforation risk. The "whirl sign", was first described by Fisher, as suggesting volvulus of the small bowel, and it was considered that this ...