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Sigmoid and cecum colon volvulus: a case report
Dilawer Chofan Charo1,2, Fares Medhat Mohammad3, Mahmoud Issam Ghmera3
1General Surgery Department, Ministry of Health, Latakia, Syria. Dilawer.charo7@outlook.com.
This case report details a rare instance of simultaneous sigmoid and cecum volvulus in a 47-year-old male. The condition presented as bowel obstruction without significant abdominal pain, highlighting the varied clinical presentations of colon volvulus.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Colon volvulus, the twisting of the colon, is prevalent in specific geographic regions.
- It commonly affects the sigmoid colon (60-70%) and the cecum (25-40%).
Observation:
- A 47-year-old male presented with bowel obstruction and abdominal distension.
- Laparotomy revealed concurrent sigmoid and cecum volvulus without signs of perforation or ischemia.
Findings:
- The case highlights the possibility of simultaneous sigmoid and cecum volvulus.
- Risk factors include elongated rectum/sigmoid for sigmoid volvulus and mobile cecum for cecal volvulus.
Implications:
- Management of colon volvulus is individualized, based on colonic wall viability and patient status.
- This case underscores the importance of considering multiple volvuli in diagnosis and treatment planning.
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