VOLVULUS OF SIGMOID FLEXURE WITHOUT SYMPTOMS.
نویسندگان
چکیده
منابع مشابه
Primary splenic flexure volvulus
Primary splenic flexure volvulus is a rare entity. We report an acute presentation of primary splenic flexure volvulus with gangrene in a 24-year-old man. Radiograph showed a massively-dilated large bowel loop with a coffee-bean sign. At emergency laparotomy, a distended and gangrenous splenic flexure was found, with absence of all three ligamentous attachments of the splenic flexure.
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Splenic flexure volvulus is rare, only 22 cases having been reported. Though these usually present with chronic intermittent clinical features we recently encountered a case presenting as acute intestinal obstruction which, on plain abdominal X-rays, had classical features of this condition.
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Acute sigmoid volvulus is typically caused by an excessively mobile and redundant segment of colon with a stretched mesenteric pedicle. When this segment twists on its pedicle, the result can be obstruction, ischemia and perforation. A healthy, 18-year-old Caucasian woman presented to the emergency department complaining of cramping abdominal pain, distention, constipation and obstipation for t...
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Volvulus is possible in any portion of the intestinal tract from the stomach to the sigmoid colon. Thus volvulus of the stomach, due to gastroptosis, an hour-glass contraction or certain kinds of injury, although extremely rare, is known. Volvulus of Meckel's diverticulum when it is persistent is recorded. Similarly volvulus of the small intestines, the ileo-csGcal junction or even of the csecu...
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ژورنال
عنوان ژورنال: The Lancet
سال: 1892
ISSN: 0140-6736
DOI: 10.1016/s0140-6736(01)92377-3