Brown bowel syndrome, an unusual cause of sigmoid volvulus
| Autor: | Gerrard O'Donoghue, Maurice Murphy, Eoghan P. Burke, Abeera Mehmood, Tara M. Connelly |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Constipation business.industry medicine.medical_treatment Case Report digestive system diseases Feculent vomiting Surgery 03 medical and health sciences Ileostomy 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Laparotomy medicine Vomiting Abdomen 030211 gastroenterology & hepatology medicine.symptom business Colectomy |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | We report a case of a 79-year-old gentleman who presented to the emergency department with a 5-day history of abdominal pain, constipation, a progressively distending abdomen and new onset feculent vomiting on a background of a recent endoscopic decompression of a sigmoid volvulus. Investigations confirmed the presence of a recurrent sigmoid volvulus. Attempts to reduce this endoscopically failed and laparotomy with sub-total colectomy and ileostomy formation was performed. Histology from the resected specimen identified a distinct pathology, namely intestinal lipofuscinosis also known as brown bowel syndrome. Brown bowel syndrome is a recognized but rare complication of chronic long term malnutrition. It may present in a myriad of ways including atonia and, rarely, massive colonic dilatation, as in our case. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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