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Sigmoid volvulus in Kaduna, Nigeria.
1Department of Surgery, Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria.
Diseases of the Colon and Rectum
|August 1, 1990
Summary
Sigmoid volvulus is a significant cause of large-bowel obstruction in Nigeria, often leading to gangrenous bowel. High mortality rates underscore the need for prompt diagnosis and intervention for this condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sigmoid volvulus presents with regional variations globally.
- It is a common cause of large-bowel obstruction in certain populations.
Purpose of the Study:
- To report the experience with sigmoid volvulus at a Nigerian teaching hospital.
- To analyze the clinical presentation, outcomes, and treatment of sigmoid volvulus.
Main Methods:
- Retrospective review of patients with large-bowel obstruction over 15 years.
- Analysis of cases specifically diagnosed with sigmoid volvulus.
Main Results:
- Sigmoid volvulus accounted for 60 of 121 large-bowel obstruction cases.
- Gangrenous bowel was present in 95% of sigmoid volvulus patients.
- The mortality rate associated with sigmoid volvulus was 16.7%.
Conclusions:
- Sigmoid volvulus is a prevalent and severe condition in the studied region.
- High rates of gangrenous bowel and mortality emphasize the critical nature of this surgical emergency.