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[Volvulus of the sigmoid colon]
O Paino1, M Trompetto, G Clerico
1Divisione di Chirurgia Generale, Regione Piemonte, Azienda USL n. 9, Ospedale Civile, Ivrea, Torino.
Minerva Chirurgica
|May 13, 1998
Summary
Sigmoid volvulus, a common intestinal obstruction, presents diagnostic challenges and risks high morbidity. Early diagnosis and surgical resection are crucial for effective management and improved patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Sigmoid volvulus is the most common form of intestinal volvulus.
- Volvulus, though often benign, carries significant morbidity and mortality risks.
Observation:
- Four cases of sigmoid volvulus were admitted between July 1994 and December 1995.
- Patient factors and delayed diagnosis contribute to complicated outcomes.
Findings:
- Abdominal X-rays aid in diagnosis.
- Barium enemas can be therapeutic due to air insufflation pressure.
- Sigmoid resection is identified as the most effective treatment.
Implications:
- Highlights the importance of timely diagnosis in sigmoid volvulus.
- Emphasizes surgical intervention for definitive treatment.
- Suggests barium enema as a potential non-surgical option.