Protein C activity, a novel prognostic marker, was evaluated in patients with gastric dilatation and volvulus relation to mortality severity of the disease. Data on mortality, duration clinical signs, degree torsion, necrosis, splenectomy occurrence disseminated intravascular coagulopathy were recorded. Blood samples obtained at selected time periods: T0 = no longer than 30 min before surgery; ...

A 75-year old male presented to the emergency room with worsening abdominal pain and distension. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. A transverse colon volvulus was found, and an extended right hemicolecto...

Cecal volvulus is uncommon in pediatric patients and there are few reports of cecal volvulus with cerebral palsy. Here, we report the case of a 19-year-old male patient who presented with abdominal distension, a history of cerebral palsy, refractory epilepsy due to lissencephaly, and chronic constipation. An abdominal x-ray and computed tomography without contrast enhancement showed fixed dilat...

Volvulus in pregnancy is rare and difficult to diagnose. Delayed diagnosis would result in high maternal and fetal mortality. Here we present an unusual case of small bowel volvulus in late pregnancy timely managed by emergency Cesarean section and derotation with excellent maternal and fetal outcomes. Volvulus should be considered in patients complaining ongoing abdominal pain, nausea, vomitin...

Patients with intractable chronic constipation should be evaluated with physiologic tests after structural disorders and extracolonic causes have been excluded. Conservative treatment options should be tried excessively. If surgery is indicated subtotal colectomy with IRA is the treatment method of choice. However, segmental resection may be a good option for isolated megasigmoid, sigmoidocele ...

BACKGROUND Metachronous colonic volvulus is a rare event that has never been approached laparoscopically. METHODS Here we discuss the case of a 63-year-old female with a metachronous sigmoid and cecal volvulus. RESULTS The patient underwent 2 separate successful laparoscopic resections. DISCUSSION AND CONCLUSION The following is a discussion of the case and the laparoscopic technique, acc...

We report a case of cecal volvulus in an 11-year-old girl who had been diagnosed with Cornelia de Lange syndrome. She had undergone operative fundoplication several years earlier and was referred to our institute for treatment of intestinal obstruction. A severely dilated colon was detected on abdominal roentgenogram, and abdominal CT and colonic enema strongly suggested cecal volvulus. Emergen...

BACKGROUND Sigmoid volvulus is frequently reported in the "volvulus belt" (Middle East, Africa, the Indian subcontinent, Turkey, and South America) and is the third leading cause of large bowel obstruction in North America. It is an uncommon problem in children and adolescents, and is rarely considered a diagnosis in this group. A high index of suspicion is necessary to diagnose sigmoid volvulu...

The incidence of intestinal volvulus gleaned from the world's medical literature spread over the past seven decades supports the contention that this bowel disorder has distinct geographical predilections. Sigmoid volvulus, invariably superimposed upon a redundancy of this part of the bowel, probably results from a functional disturbance of the colon mediated perhaps by a high-residue vegetable...

SUMMARY Volvulus associated with pregnancy & puerperi- um though rare, has to be exciuded as a cause of abdominal pain Diagnosis is difficult because the clinical signs are often masked. Delay in diagnos is may have serious consequences for mother & fetus. A case of volvulus associated with pregnancy is being reported and literature are briefly reviewed. Significant symptoms and signs and usef...