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An Unexpected Twist: Sigmoid Volvulus Complicated by Peritoneal Metastases
Aabid Mohiuddin1, Fawaz Hussain1, Eric Denha2
1Department of Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, USA.
Cureus
|May 20, 2025
Summary
Recurrent sigmoid volvulus, a rare condition, can be refractory to endoscopic detorsion due to peritoneal metastases. Surgical resection may be necessary for patients with underlying malignancy and complex cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Sigmoid volvulus involves colon torsion, causing obstruction and ischemia.
- Endoscopic detorsion is the primary treatment, with surgery reserved for complications or failure.
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