A Case of Redundant Sigmoid Colon and Sigmoid Volvulus.

Autor: Sudabattula K; General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Zade A; General Surgery, Mahatma Gandhi Institute of Medical Sciences, Wardha, IND., Tote D; General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Reddy S; General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Panchagnula T; General Surgery, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, IND., Dahmiwal T; General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 May 17; Vol. 16 (5), pp. e60508. Date of Electronic Publication: 2024 May 17 (Print Publication: 2024).
DOI: 10.7759/cureus.60508
Abstrakt: The torsion of a dilated sigmoid colon around its own mesenteric axis is the cause of sigmoid volvulus, which frequently results in constipation and intestinal obstruction. The clinical presentation of sigmoid volvulus can be observed as nausea, constipation, abdominal distension, and abdominal pain. It is also reported to be insidious. Additionally, it causes blood obstruction, resulting in necrosis, bowel ischemia, and even intestinal perforation if not addressed on time. Physical symptoms might vary depending on the course of the disease but are usually observed as the classical trio of abdominal distension, abdominal pain, and constipation. Computed tomography imaging presents the sign of an inverted U, or classic coffee bean, aiding in the diagnosis of the sigmoid volvulus. A 38-year-old male was admitted to the emergency department of our tertiary care center with significant complaints of obstipation and abdominal pain. The medical history and physical examination revealed peritoneal symptoms, which warranted a prompt radiological imaging diagnosis. The patient was subjected to computed tomography, which was suggestive of sigmoid volvulus. The patient underwent an emergency laparotomy and sigmoidectomy, which were uneventful with no postoperative complications.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Sudabattula et al.)
Databáze: MEDLINE