Sigmoid Volvulus Necessitating Total Colectomy

Authors

  • Asrar Ahmad
  • Irum Saleem
  • Mahwish Mehboob Bhutta
  • Mashal Ahmed
  • Namra Sohail Raja
  • Rafia Durrani

DOI:

https://doi.org/10.51985/JBUMDC202219

Keywords:

gangrene, ileostomy, laparatomy, volvulus

Abstract

Sigmoid volvulus is a well-known cause of large bowel obstruction. Its management includes urgent endoscopic decompression
or emergency laparotomy. The gangrenous sigmoid colon is resected with either end to end anastomosis or Hartmann’s
procedure. Here we present a rare presentation of sigmoid volvulus causing gangrene of the whole colon. It was probably
due to double closed loop obstruction caused distally by the volvulus itself and proximally by the competent ileo-caecal
valve. It was managed by total colectomy with terminal ileostomy and Hartmann’s procedure. To our knowledge only one
such case report has been published in the literature so for.

References

Lieske B, Antunes C. Sigmoid Volvulus. [Updated 2022 May

. In: StatPearls [Internet]. Treasure Island (FL): StatPearls

Publishing; 2022 Jan-. Available from: https://www.ncbi

.nlm.nih.gov/books/NBK441925/

Purcell LN, Reiss R, Mabedi C, Gallaher J, Maine R, Charles

A. Characteristics of Intestinal Volvulus and Risk of Mortality

in Malawi. World J Surg. 2020;44(7):2087-2093. doi:

1007/s00268-020-05440-2.

Lieske B, Antunes C. Sigmoid Volvulus. [Updated 2022 May

. In: StatPearls [Internet]. Treasure Island (FL): StatPearls

Publishing; 2022 Jan-. Available from: https://www.ncbi.

nlm.nih.gov/books/NBK441925/.

Prabhu SM, Venkatesan B, Shetty G, Narula MK, Chauhan

U, Udiya AK. Recurrent sigmoid volvulus associated with

eventration of diaphragm in a twenty-six-year-old man. Iran

J Radiol. 2015;12(2):e8640.

Le CK, Nahirniak P, Anand S, Cooper W. Volvulus. 2022 Apr

In: StatPearls [Internet]. Treasure Island (FL): StatPearls

Publishing; 2022 Jan

M. Ramula Durai*, J. Kiran Kumar, Vijayanand. A clinical

study on the management of sigmoid volvulus. Int Surg J.

; 4(3):1039-43.

Vogel JD, Feingold DL, Stewart DB, Turner JS, Boutros M,

Chun J. Clinical Practice Guidelines for Colon Volvulus and

Acute Colonic Pseudo-Obstruction. Dis Colon Rectum 2016;

: 589–600.

Perrot L, Fohlen A, Alves A, Lubran J. Management of colonic

volvulus in 2016. J Visc Surg 2016; 153 (3): 183-92.

Pattanayak S, Saha D, Bara BK, Nayak SK. Comparison of

primary resection and anastomosis with hartmann's procedure

in management of acute sigmoid volvulus. Int Surg J

;3(4):2079-82.

Jaffe T, Thompson WM. Large-Bowel Obstruction in the

Adult: Classic Radiographic and CT Findings, Etiology, and

Mimics. Radiol 2015 ; 275:(3): 651-63.

Sali PA , Pilania V, Sutar S, Krishna K, Ghetla S, Shetty T.

Total colectomy in a gangrenous large bowel due to a rare

double closed loop obstruction. Int J Surg Case Rep

;17:1–4.

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Published

2022-12-30

How to Cite

Ahmad, A. ., Saleem, I. ., Bhutta, M. M. ., Ahmed, M. ., Raja, N. S. ., & Durrani, R. . (2022). Sigmoid Volvulus Necessitating Total Colectomy. Journal of Bahria University Medical and Dental College, 13(01), 67–69. https://doi.org/10.51985/JBUMDC202219

Issue

Vol. 13 No. 01 (2023): VOLUME 13 ISSUE 01

Section

Case Report

License

Copyright (c) 2022 Asrar Ahmad, Irum Saleem, Mahwish Mehboob Bhutta, Mashal Ahmed, Namra Sohail Raja, Rafia Durrani

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Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0