Volvulus is an unusual condition in Western countries, generally isolated to elderly patients with multiple comorbidities. This report describes an unusual case of a very large gangrenous sigmoid volvulus in a young, otherwise healthy 25-year-old female. A review of the diagnosis and management is subsequently described. Without a consideration of the atypical demographics for sigmoid volvulus,...

Sigmoid volvulus during pregnancy is a rare complication, and as of 2012, fewer than 100 cases had been reported. In this report, we present a 30 year-old pregnant woman with sigmoid volvulus, and we discuss this rare entity.

Percutaneous endoscopic colostomy (PEC) was first described in 1986, by Jeffrey Ponski [1], who had invented percutaneous endoscopic gastrostomy a few years before that [2]. Performed by 2 operators, PEC consists of placing a tube in the colon during colonoscopy in order to provide antegrade colonic enemas (ACE) in severe constipation or fecal incontinence [3,4]. The PEC tube can also be used a...

Background: Sigmoid volvulus is a rare complication in pregnancy. The clinical presentation is similar to that of non-pregnant volvulus, although the symptoms can be masked by the enlarged uterus and physiological changes during pregnancy and it can be challenged and delayed in diagnosis and treatment. Delay in diagnosis can also lead to ischemia, necrosis and perforation of the intestine, whic...

The colon involved with the sigmoid volvulus is much thicker than the normal colon. It is easy to handle and holds sutures well. Patients who have sigmoid-colon volvulus do not have much faecal loading. Most of the distension is gaseous. In the hands of experienced surgeons primary anastomosis can be done after sigmoid colectomy with safety and excellent results.

BACKGROUND Sigmoid volvulus is frequently reported in the "volvulus belt" (Middle East, Africa, the Indian subcontinent, Turkey, and South America) and is the third leading cause of large bowel obstruction in North America. It is an uncommon problem in children and adolescents, and is rarely considered a diagnosis in this group. A high index of suspicion is necessary to diagnose sigmoid volvulu...

Reports of a volvulus (twisting) of the sigmoid colon can be found in a papyrus from ancient Egypt. However, sigmoid volvulus represents a spectrum of disease across the globe from young men in central Africa to the elderly institutionalised patients in Western Europe and the USA. As the population ages the prevalence of sigmoid volvulus is likely to rise. As an acute presentation, it represent...

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...

BACKGROUND Many reports have described sigmoid volvulus, but fatal hemorrhagic shock resulting from the rupture of the involved artery has not been reported as a complication of a sigmoid volvulus. CASE REPORT A 71-year-old man with slight abdominal pain and obstipation in hypotension died at a nursing home without seeing a doctor. At autopsy, a mesenteric hematoma and hemoperitoneum was obse...