Unusual appearance of the colon following sigmoid volvulus
Autor: | Milton Elkin, Norman L. Avnet |
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Rok vydání: | 1961 |
Předmět: |
medicine.medical_specialty
Colon medicine.medical_treatment digestive system Medical Records Colon Sigmoid Medicine Intubation Humans Radiology Nuclear Medicine and imaging Gangrene medicine.diagnostic_test business.industry Mortality rate Sigmoid colon Sigmoidoscopy medicine.disease digestive system diseases Surgery Volvulus Radiography medicine.anatomical_structure Abdomen business Sigmoidoscope Intestinal Obstruction Intestinal Volvulus |
Zdroj: | Radiology. 77 |
ISSN: | 0033-8419 |
Popis: | The sigmoid colon is the most common site of volvulus of the large bowel. The diagnosis is usually made from the clinical findings and roentgen study of the abdomen; barium-enema examination is not, as a rule, necessary. The characteristic radiologic appearance of this closed-loop variety of colonic obstruction has been well documented (5, 6, 12–15). Its mortality rate has been high, and death is frequently associated with gangrene of the involved segment of the sigmoid. The usual treatment is surgical, but rectal intubation with sigmoidoscopy has been recommended for cases without evidence, proctoscopically, of circulatory embarrassment (1). Although there are numerous reports of the aspect of sigmoid volvulus on barium-enema examination, we have come across none on the appearance soon after detorsion of the volvulus. This is a report of a patient with sigmoid volvulus treated by intubation through a sigmoidoscope. Barium-enema study three days after the detorsion demonstrated striking changes in the sig... |
Databáze: | OpenAIRE |
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