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Sigmoid volvulus: Comorbidity with sigmoid gangrene
Sabri Selcuk Atamanalp1, Esra Disci2, Refik Selim Atamanalp3
1Prof. Sabri Selcuk Atamanalp, MD. Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Sigmoid volvulus (SV) with gangrene is a severe condition where the colon twists, leading to tissue death. Early surgical intervention is crucial for survival, as gangrene significantly increases mortality risk.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sigmoid volvulus (SV) involves the twisting of the sigmoid colon around its mesentery.
- Sigmoid gangrene is a life-threatening complication of SV.
Purpose of the Study:
- To highlight the diagnostic challenges and critical management of sigmoid gangrene secondary to SV.
Main Methods:
- Review of clinical, laboratory, and radiological findings in SV.
- Analysis of treatment outcomes for gangrenous SV.
Main Results:
- Diagnostic signs for sigmoid gangrene are often non-specific.
- Gangrenous SV necessitates emergency surgical treatment.
Conclusions:
- Prompt surgical intervention is vital for patients with gangrenous SV.
- Sigmoid gangrene substantially elevates the mortality rate associated with SV.
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