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Metachronous cecal and sigmoid volvulus

H O Kiviniemi1, J T Mäkelä

  • 1Department of Surgery, Oulu University Hospital, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1997
PubMed
Summary

Metachronous cecal and sigmoid volvulus, a rare condition, required multiple surgeries. Surgical intervention, including resection, is recommended for recurrent colonic volvulus.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Colorectal Surgery

Background:

  • Metachronous cecal and sigmoid volvulus is an exceptionally rare clinical occurrence.
  • Volvulus, the twisting of a segment of the gastrointestinal tract, can lead to obstruction and ischemia.

Observation:

  • This case report details a patient who developed both cecal and sigmoid volvulus sequentially.
  • The patient underwent multiple surgical procedures to address the two distinct volvulus events.

Findings:

  • Initial treatment for cecal volvulus involved caecostomy.
  • Sigmoid volvulus was initially managed with detorsion but recurred, necessitating a subsequent mesocolosplasty for successful recovery.
  • The patient experienced a full recovery following the mesocolosplasty for recurrent sigmoid volvulus.

Implications:

  • Recurrent colonic volvulus warrants consideration for operative management.
  • Resection of the affected bowel segment is the preferred surgical approach for medically fit patients with recurrent colonic volvulus.
  • This case highlights the complexity of managing synchronous or metachronous colonic volvuli and the potential need for staged surgical interventions.

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