A Surprising Twist to an Old Problem: Sigmoid Volvulus in a 19-Year-Old Man
| Autor: | Dale Han, Najjia N. Mahmoud, Shamus R. Carr, Nathan L. Salinas |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Constipation business.industry Nausea medicine.medical_treatment General surgery General Medicine medicine.disease digestive system diseases Surgery Volvulus Laparotomy parasitic diseases Vomiting Medicine medicine.symptom Differential diagnosis business Colectomy |
| Zdroj: | The American Surgeon. 73:284-286 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | Sigmoid volvulus classically presents in the seventh or eighth decade, therefore, diagnosis of sigmoid volvulus in an adolescent may be delayed or missed. This life-threatening diagnosis should be considered in young patients presenting with abdominal pain, nausea, vomiting, and constipation. Intraoperative findings in a 19-year-old man with a sigmoid volvulus highlight the importance of considering further studies, such as an abdominal CT scan, which goes beyond the typical obstruction evaluation in the adolescent patient. When nonoperative management fails to decompress the volvulus, complicating factors should be considered, and laparotomy is indicated to provide definitive treatment for this condition. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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