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[Sigmoid volvulus]

F Cabano1, I Vezzulli, A Venegoni

  • 1Clinica Chirurgica II, I.R.C.C.S. Policlinico S. Matteo, Pavia.

Minerva Chirurgica
|May 31, 1993
PubMed
Summary
This summary is machine-generated.

Sigmoid volvulus, a rare cause of colon obstruction, presents challenges in elderly patients. This study highlights its poor prognosis and reviews management strategies.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Sigmoid volvulus is a rare cause of large bowel obstruction.
  • It predominantly affects elderly and debilitated individuals.

Observation:

  • A retrospective study analyzed four patients with sigmoid volvulus treated between 1974 and 1989.
  • This condition represented 5.4% of colonic obstructions not related to inguinal hernias.

Findings:

  • One patient in the study died, underscoring the condition's severity.
  • Sigmoid volvulus typically occurs in elderly, medically compromised patients, leading to a poor prognosis.

Implications:

  • Understanding the epidemiology and clinical presentation is crucial for timely diagnosis.
  • Reviewing therapeutic options, both nonoperative and operative, is essential for managing sigmoid volvulus.