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Related Concept Videos

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
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Gastrointestinal Motility Disorders01:20

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Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Related Experiment Video

Updated: Jul 4, 2025

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A RARE METACHRONOUS COLONIC VOLVULUS.

P A Ekhaiyeme1, N A Olagunju1, O A Ajagbe1

  • 1Department of Surgery, University College Hospital, Ibadan, Oyo State, Nigeria.

Annals of Ibadan Postgraduate Medicine
|February 1, 2024
PubMed
Summary
This summary is machine-generated.

A rare case of transverse colon volvulus occurred 14 months after sigmoid colectomy for sigmoid volvulus. Early diagnosis of this uncommon condition is crucial to prevent serious complications.

Keywords:
MetachronousSigmoid colonTransverse colonVolvulus

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Colonic volvulus, a frequent cause of large bowel obstruction, typically affects the sigmoid colon.
  • Transverse colon volvulus is rare, and even rarer is its occurrence post-surgery for sigmoid colon volvulus.
  • Delayed diagnosis of colonic volvulus increases risks of perforation, peritonitis, and mortality.

Purpose of the Study:

  • To report a rare case of metachronous transverse colon volvulus.
  • To highlight diagnostic challenges and management options for this uncommon condition.

Main Methods:

  • Case report of an 86-year-old male presenting with large bowel obstruction symptoms.
  • Review of clinical presentation 14 months after sigmoid colectomy for sigmoid colon volvulus.

Main Results:

  • The patient presented with symptoms of large bowel obstruction.
  • Diagnosis of transverse colon volvulus was challenging preoperatively due to lack of specific radiographic signs.
  • The condition was confirmed intra-operatively.

Conclusions:

  • Metachronous transverse colon volvulus is an uncommon complication.
  • Preoperative diagnosis is difficult, often requiring intra-operative confirmation.
  • Single-stage bowel resection and anastomosis is a safe and effective treatment option.