Colonic volvulus may involve the cecum and terminal ileum, the transverse colon, the splenic flexure or the sigmoid colon. Volvulus is a benign colonic pathology of the cecum or sigmoid colon. For examples, perlman 1 reported 111 cases from a russian clinic, griffin, bartron and meyer 2 discussed 37 cases in patients admitted to cook county hospital between 1937 and 1945, and braun and wortman 3 listed 31 cases seen at friedrichshain hospital in berlin. Volvulus twist of the bowel around its own mesentery closed loop obstruction obstruction of the bowel at 2 points in 1 location strangulation obstruction of the bowel with interruption of its blood supply. Volvulus twist of the bowel around its own mesentery. This study is based on a survey of the literature and a personally encountered case. Diagnosis and treatment for volvulus of the sigmoid colon. The medical literature is studded with cases of volvulus of the colon. The criterion of inclusion was volvulus of the sigmoid.
Le volvulus du colon pelvien ou sigmoide est une occlusion par strangulation. Le volvulus du colon pelvien blog du chalet espace des. A colon volvulus is an abnormal twisting of a portion of the gastrointestinal tract which can impair blood flow. The most common sites of volvulus are the sigmoid colon and cecum. During this stage of development, the intestines normally migrate back into the abdominal cavity following a brief period where they are temporarily located at the base of the umbilical cord. Colonic volvulus symptoms, diagnosis, treatments and. Prompt diagnosis of the volvulus sigmoid is critical to minimize fetal and maternal. Volvulus is a condition in which the bowel twists on itself, causing obstruction to the flow of material through the bowel. Jan, 2010 in western countries intestinal obstruction caused by sigmoid volvulus is rare and its mortality remains significant in patients with late diagnosis. We present a case of a 33yearold pregnant female in the third trimester with a sigmoid volvulus. Listing a study does not mean it has been evaluated by the u. Laparoscopic cecopexy for cecalvolvulus after laparoscopy. The cecum is the second location of the colon volvulus after sigmoid.
Download pdf 4599k download meta ris compatible with endnote, reference manager, procite, refworks bib tex compatible with bibdesk, latex text. Normally, the cecum and ascending colon are fixed to the abdominal wall. Chilaiditis syndrome associated with colonic volvulus and. The correct diagnosis of this accident has rarely been made. Volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel obstruction. Sigmoid volvulus is a rare, but serious, complication that can occur during pregnancy. A prospective randomized trial the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Volvulus, derived from the latin term volvere, is a subtype of abnormal gastrointestinal gi rotation.
If improperly attached, they can move and become twisted. Cecal volvulus is twisting of the cecum and ascending colon. Sep 22, 2008 a 75year old male presented to the emergency room with worsening abdominal pain and distension. It is a very common cause of large bowel obstruction in peru and bolivia due to high altitude. Le volvulus du sigmoide est une urgence medicochirurgicale frequente. The area of intestine above the obstruction caused by the colon volvulus continues to function and fills with food, fluid and gas. A 75year old male presented to the emergency room with worsening abdominal pain and distension. Chilaiditis syndrome associated with colonic volvulus and intestinal malrotationa rare case.
Detorsion of the volvulus was performed during colonoscopy. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Torsion results in narrowing of the lumen at the point of rotation and compromise of the vessels that supply the torted gut. Il sagit dune etude retrospective qui a porte sur 10 ans janvier 2000 decembre 2009. Sometimes the affected part of the colon must be removed and the healthy ends reattached, a procedure called an intestinal resection. Rupture of an aneurysm of the abdominal aorta is of infrequent occurrence. Les volvulus du colon sont une cause rare mais grave docclusion colique organique 1% occlusions intestinales. It represents 1 % of acute intestinal mechanical obstruction and 20 to 40% of colon volvulus 2, 3. Surgical management of sigmoid volvulus maria georgiades, md october 18, 2012. Colon volvulus digestive diseases i ohio state medical center. Cours gratuits gastrologie le volvulus du colon pelvien. The aim of this study was to report the result of surgical treatment of volvulus of the sigmoid colon by colectomy in 2 phases.
Colonic volvulus symptoms, diagnosis, treatments and causes. In western countries intestinal obstruction caused by sigmoid volvulus is rare and its mortality remains significant in patients with late diagnosis. Intestinal volvulus is a broad term that describes the torsion of bowel around its mesentery. Volvulus of the transverse colon is a rare condition requiring early diagnosis and treatment. This is a descriptive and retrospective study during 5 years, led in the unit of digestive and general surgery of aristide le dantec teaching hospital dakarsenegal.
The sigmoid colon volvulus is a common cause of intestinal obstruction in africa. Volvulus of the cecum, transverse colon, or sigmoid colon occurs, usually in adults, with only. Volvulus is defined as a torsion of a portion of the gastrointestinal tract. Le volvulus du colon sigmoide vcs realise une occlusion intestinale et constitue. More commonly seen in people ages 30 to 60, cecal volvulus may be caused by abdominal adhesions, severe coughing, or pregnancy. It is a common cause of bowel obstruction and constipation.
Volvulus can also arise as a rare complication in persons with redundant colon, a normal anatomic variation resulting in extra colonic loops. Management of the colonic volvulus in 2016 emconsulte. Management of cecal volvulus department of surgery at. The colon and its mesentery twist, leading to a closed loop colonic obstruction, a more proximal intestinal obstruction, and an abdominal crisis. Le volvulus siege dans 60 % des cas au niveau du colon sigmoide et dans 39 % au niveau c. Appropriate treatment of acute sigmoid volvulus in the.
More detailed information about the symptoms, causes, and treatments of colonic volvulus is. Volvulus, derived from the latin term volvere, is a subtype of. Colon volvulus digestive diseases i ohio state medical. Intestinal volvuluscolon, sigmoidcolonoscopyabdominal pain. This disease has been described for centuries, and was studied by hippocrates himself. Colonic volvulus affects between three and seven million people per year worldwide.
The sigmoid volvulus is an acute strangulation of the colon by the twisting of the sigmoid loop around its mesenteric axis resulting in partial or complete obstruction of the colonic lumen. The aim of this work is to assess what is the correct surgical timing and how the prognosis changes for the different clinical types. Volvulus occurs most frequently in middleaged and elderly men. Des astuces pour faire le diagnostic positif et trouver lorigine. The main types of colonic volvulus are sigmoid volvulus and cecal volvulus. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. We need to determine whether the patient with suspected volvulus has a viable colon and is a candidate \. More detailed information about the symptoms, causes, and treatments of colonic volvulus is available below. A colonic volvulus occurs when a part of the colon twists on its mesentery, resulting in acute, subacute, or chronic colonic obstruction.
A transverse colon volvulus was found, and an extended right. An algorithm for the management of sigmoid colon volvulus and the safety of primary resection. Colonic volvulus affects between three and seven million people per year. The patient underwent an elective sigmoidectomy at a later date. Thus, in the socalled volvulus belt, an endemic area that includes africa, south america, russia, eastern europe, the middle east, india and brazil, colonic volvulus represents to 42% of all intestinal obstructions 4. The incidence of colon volvulus varies in different regions of the world.
The determination of four groups of patients could help in the management of sigmoid volvulus. Sigmoid volvulus is the mostcommon form of volvulus of the gastrointestinal tract. Il survient le plus frequemment chez le sujet age mais il peut apparaitre a tout age. It can affect all parts of the colon, but most commonly occurs in the sigmoid and cecal areas. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. Volvulus du colon pelvien cancer du colon rtt scribd. Determine the frequency of sigmoid colon volvulus, describe clinical and paraclinical signs. We would like to show you a description here but the site wont allow us.
The most common type of volvulus is the sigmoid volvulus, followed by cecal volvulus, transverse. A volvulus is when a loop of intestine twists around itself and the mesentery that supports it. For examples, perlman 1 reported 111 cases from a russian clinic, griffin, bartron and meyer 2 discussed 37 cases in patients admitted to cook county hospital between 1937 and 1945, and braun and wortman 3 listed 31 cases seen at friedrichshain hospital in berlin when the incidence of volvulus is applied to the. The term volvulus is derived from the latin word volvere to twist. Another issue is the higher prevalence of sigmoid volvulus in men than women. Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon. Such a type of condition can gradually lead to tissue death. Acute sigmoid volvulus is defined as torsion of the sigmoid colon around its mesenteric axis, which leads to acute large intestine obstruction, which, if left untreated, often results in lifethreatening complications, such as bowel ischemia, gangrene, and perforation1,2. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. Teruhisa shimiz, ryoji takahira, hiroyuki kusano, hiroshi ishikawa. In the context sigmoid volvulus the colon may be described as having a coffee bean sign. It is common in asia, india 7% of intestinal obstruction and especially south india because of the high fibre diet.
The two commonest types of bowel twisting are sigmoid volvulus and caecal volvulus. We realized a retrospective clinical study including all the patients treated for sigmoid volvulus in the. The sigmoid colon is more prone to twisting than other segments of the large bowel because it is mobile on its own mesentery, which arises from a fixed point in the left iliac fossa lif. Maiga and others published volvulus of sigmoid colon at sikasso hospital find, read and cite all the research you need on researchgate. Prise en charge des volvulus du colon sigmoide springerlink.
Colonic volvulus is a common cause of large bowel obstruction worldwide. It can also lead to obstruction of the blood supply to the intestine itself, which can result in tissue death within the bowel. It is the most common intestinal volvulus and is an absolute medical and surgical emergency. Intestinal malrotation and volvulus intestinal malrotation is a defect that occurs at the 10th week of gestation. The disorder is characterized by twisting of intestine that obstructs the blood supply. Abdominal xray abnormal bowel gas pattern volvulus. Endoscopic reduction of a volvulus of the sigmoid colon in. Mar 14, 2017 prise en charge des volvulus du colon sigmoide. Volvulus of other portions of the alimentary tract, such as the stomach, gallbladder, small bowel, splenic flexure, and transverse colon, are rare. Sigmoid colon is characterized by torsion of the sigmoid loops of the colon, causing mechanical obstruction of the passage leading to the rectum and restriction of blood supply. Cette pathologie touche tous les segments mobiles du colon.
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