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. The criterion of inclusion was volvulus of the sigmoid. 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. Colon volvulus digestive diseases i ohio state medical. Colonic volvulus affects between three and seven million people per year worldwide. Another issue is the higher prevalence of sigmoid volvulus in men than women.
Volvulus can also arise as a rare complication in persons with redundant colon, a normal anatomic variation resulting in extra colonic loops. Jan, 2010 in western countries intestinal obstruction caused by sigmoid volvulus is rare and its mortality remains significant in patients with late diagnosis. The aim of this study was to report the result of surgical treatment of volvulus of the sigmoid colon by colectomy in 2 phases. Volvulus is defined as a torsion of a portion of the gastrointestinal tract. Laparoscopic cecopexy for cecalvolvulus after laparoscopy. In the context sigmoid volvulus the colon may be described as having a coffee bean sign. 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.
Detorsion of the volvulus was performed during colonoscopy. Volvulus, derived from the latin term volvere, is a subtype of abnormal gastrointestinal gi rotation. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. Intestinal volvulus is a broad term that describes the torsion of bowel around its mesentery. Le volvulus siege dans 60 % des cas au niveau du colon sigmoide et dans 39 % au niveau c. Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon. The most common sites of volvulus are the sigmoid colon and cecum. If improperly attached, they can move and become twisted. Rupture of an aneurysm of the abdominal aorta is of infrequent occurrence. Le volvulus du colon sigmoide vcs realise une occlusion intestinale et constitue. The term volvulus is derived from the latin word volvere to twist. We need to determine whether the patient with suspected volvulus has a viable colon and is a candidate \. Download pdf 4599k download meta ris compatible with endnote, reference manager, procite, refworks bib tex compatible with bibdesk, latex text.
Colonic volvulus symptoms, diagnosis, treatments and causes. Volvulus of other portions of the alimentary tract, such as the stomach, gallbladder, small bowel, splenic flexure, and transverse colon, are rare. The main types of colonic volvulus are sigmoid volvulus and cecal volvulus. The most common type of volvulus is the sigmoid volvulus, followed by cecal volvulus, transverse. It is a common cause of bowel obstruction and constipation. Prise en charge des volvulus du colon sigmoide springerlink. A prospective randomized trial the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. More detailed information about the symptoms, causes, and treatments of colonic volvulus is. 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. Volvulus of the transverse colon is a rare condition requiring early diagnosis and treatment. Volvulus is a benign colonic pathology of the cecum or sigmoid colon. It can affect all parts of the colon, but most commonly occurs in the sigmoid and cecal areas. 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 sigmoid colon volvulus is a common cause of intestinal obstruction in africa. Ils constituent une urgence diagnostique et therapeutique. This disease has been described for centuries, and was studied by hippocrates himself. Management of cecal volvulus department of surgery at. 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. Abdominal xray abnormal bowel gas pattern volvulus. It is a very common cause of large bowel obstruction in peru and bolivia due to high altitude. Le volvulus du colon pelvien ou sigmoide est une occlusion par strangulation. The area of intestine above the obstruction caused by the colon volvulus continues to function and fills with food, fluid and gas. The colon and its mesentery twist, leading to a closed loop colonic obstruction, a more proximal intestinal obstruction, and an abdominal crisis.
Colonic volvulus may involve the cecum and terminal ileum, the transverse colon, the splenic flexure or the sigmoid colon. Surgical management of sigmoid volvulus maria georgiades, md october 18, 2012. The cecum is the second location of the colon volvulus after sigmoid. Torsion results in narrowing of the lumen at the point of rotation and compromise of the vessels that supply the torted gut. Sometimes the affected part of the colon must be removed and the healthy ends reattached, a procedure called an intestinal resection. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. The correct diagnosis of this accident has rarely been made. We would like to show you a description here but the site wont allow us. Colonic volvulus symptoms, diagnosis, treatments and. Such a type of condition can gradually lead to tissue death.
Colon volvulus digestive diseases i ohio state medical center. It can also lead to obstruction of the blood supply to the intestine itself, which can result in tissue death within the bowel. More commonly seen in people ages 30 to 60, cecal volvulus may be caused by abdominal adhesions, severe coughing, or pregnancy. The determination of four groups of patients could help in the management of sigmoid volvulus. Le volvulus du sigmoide est une urgence medicochirurgicale frequente. It is common in asia, india 7% of intestinal obstruction and especially south india because of the high fibre diet. 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.
Chilaiditis syndrome associated with colonic volvulus and intestinal malrotationa rare case. We realized a retrospective clinical study including all the patients treated for sigmoid volvulus in the. Appropriate treatment of acute sigmoid volvulus in the. Sep 22, 2008 a 75year old male presented to the emergency room with worsening abdominal pain and distension. Volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel obstruction. Volvulus du colon pelvien cancer du colon rtt scribd. Il sagit dune etude retrospective qui a porte sur 10 ans janvier 2000 decembre 2009. We present a case of a 33yearold pregnant female in the third trimester with a sigmoid volvulus. It is the most common intestinal volvulus and is an absolute medical and surgical emergency.
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. A colonic volvulus occurs when a part of the colon twists on its mesentery, resulting in acute, subacute, or chronic colonic obstruction. Sigmoid volvulus is a rare, but serious, complication that can occur during pregnancy. Chilaiditis syndrome associated with colonic volvulus and. This study is based on a survey of the literature and a personally encountered case. The disorder is characterized by twisting of intestine that obstructs the blood supply. Le volvulus du colon pelvien blog du chalet espace des. The medical literature is studded with cases of volvulus of the colon.
More detailed information about the symptoms, causes, and treatments of colonic volvulus is available below. A volvulus is when a loop of intestine twists around itself and the mesentery that supports it. 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. A colon volvulus is an abnormal twisting of a portion of the gastrointestinal tract which can impair blood flow. Cours gratuits gastrologie le volvulus du colon pelvien. The incidence of colon volvulus varies in different regions of the world.
Determine the frequency of sigmoid colon volvulus, describe clinical and paraclinical signs. Endoscopic reduction of a volvulus of the sigmoid colon in. 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. Teruhisa shimiz, ryoji takahira, hiroyuki kusano, hiroshi ishikawa. Mar 14, 2017 prise en charge des volvulus du colon sigmoide. In the absence of ischaemic changes within the redundant bowel, success can be anticipated with conservative fixation procedures. Maiga and others published volvulus of sigmoid colon at sikasso hospital find, read and cite all the research you need on researchgate. The patient underwent an elective sigmoidectomy at a later date.
Des astuces pour faire le diagnostic positif et trouver lorigine. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. Listing a study does not mean it has been evaluated by the u. 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. The two commonest types of bowel twisting are sigmoid volvulus and caecal volvulus. Volvulus twist of the bowel around its own mesentery. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis.
Prompt diagnosis of the volvulus sigmoid is critical to minimize fetal and maternal. Sigmoid volvulus is the mostcommon form of volvulus of the gastrointestinal tract. 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. Intestinal malrotation and volvulus intestinal malrotation is a defect that occurs at the 10th week of gestation. Colonic volvulus affects between three and seven million people per year. Cette pathologie touche tous les segments mobiles du colon. In western countries intestinal obstruction caused by sigmoid volvulus is rare and its mortality remains significant in patients with late diagnosis. Diagnosis and treatment for volvulus of the sigmoid colon. Volvulus occurs most frequently in middleaged and elderly men. Management of the colonic volvulus in 2016 emconsulte. Volvulus, derived from the latin term volvere, is a subtype of. Volvulus of the cecum, transverse colon, or sigmoid colon occurs, usually in adults, with only. A 75year old male presented to the emergency room with worsening abdominal pain and distension. Intestinal volvuluscolon, sigmoidcolonoscopyabdominal pain.
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