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Related Experiment Videos

Sigmoid volvulus in two patients with progressive systemic sclerosis.

R C Fraback, B M Kadell, K M Nies

    The Journal of Rheumatology
    |January 1, 1978
    PubMed
    Summary

    Progressive systemic sclerosis can cause sigmoid volvulus, a serious intestinal obstruction. Early surgical intervention is crucial for successful treatment in these patients.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Rheumatology

    Background:

    • Progressive systemic sclerosis (PSS) is a multisystem autoimmune disease characterized by widespread vascular and fibrotic changes.
    • Gastrointestinal manifestations are common in PSS, affecting motility and structure.
    • Sigmoid volvulus, a rare cause of intestinal obstruction, involves the twisting of the sigmoid colon.

    Observation:

    • Two patients with diagnosed progressive systemic sclerosis presented with symptoms suggestive of intestinal obstruction.
    • In one patient, the condition was initially misdiagnosed as fecal impaction.
    • Both patients underwent surgical intervention for the obstruction.

    Findings:

    • Sigmoid volvulus was confirmed as the diagnosis in both patients with PSS.
    • Early surgical intervention led to positive outcomes in both cases.
    • The study highlights a potential link between PSS and the development of sigmoid volvulus.

    Implications:

    • Sigmoid volvulus should be included in the differential diagnosis for intestinal obstruction in patients with progressive systemic sclerosis.
    • Timely recognition and surgical management can improve patient prognosis.
    • Further research may elucidate the specific mechanisms linking PSS and sigmoid volvulus.

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