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Ileosigmoid volvulus and acute external hemorrhoids: a new entity?
Journal of the National Medical Association
|March 1, 1982
Summary
This study presents a rare case of concurrent small bowel and sigmoid volvulus leading to gangrene in both organs. Surgical management and clinical correlations of this unusual condition are discussed.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Volvulus, a twisting of the intestine, can occur in various segments, including the small bowel and sigmoid colon.
- Concurrent volvulus of multiple intestinal segments is exceptionally rare.
- Bowel gangrene is a severe complication necessitating urgent surgical intervention.
Observation:
- A unique case involving simultaneous small bowel volvulus and sigmoid volvulus was identified.
- Both affected intestinal segments exhibited signs of gangrene.
- The patient presented with clinical manifestations consistent with acute intestinal obstruction and ischemia.
Findings:
- Histopathological examination confirmed ischemic necrosis (gangrene) in both the small bowel and sigmoid segments.
- Diagnostic imaging revealed the characteristic signs of volvulus in both locations.
- Successful surgical intervention involved resection of the gangrenous segments and restoration of intestinal continuity.
Implications:
- This case highlights the importance of considering multiple concurrent volvuli in patients with signs of intestinal obstruction and ischemia.
- Prompt surgical intervention is crucial for managing gangrenous bowel segments to prevent mortality.
- Understanding the clinical and pathological correlations aids in optimizing the surgical approach for rare presentations of intestinal volvulus.