A Unique Case of Recurrent Metachronous Volvulus of the Gastrointestinal Tract

Avgerinos, Dimitrios V.; Llaguna, Omar H.; Friedman, Richard L.

doi:10.1001/archsurg.2009.206

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…12 Even after an exhaustive search for metachronicity of volvulus of the splenic flexure in the past literature, only a handful of case reports could be retrieved and mostly they have discussed of sigmoid and caecal volvulus. [15][16][17][18][19][20][21][22] None of the reports described of splenic flexure volvulus as a metachronous event to sigmoid volvulus. Volvulus of the splenic flexure is a rare condition to encounter in the clinical scenario, and that too being metachronous is even much rarer.…”

Section: Discussionmentioning

confidence: 99%

Metachronous volvulus of the splenic flexure: a rarer entity

Dhamnaskar¹,

Sawarkar²,

Mandal³

et al. 2018

Int Surg J

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Intestinal obstruction due to volvulus is a well-known entity in India, one of the ‘volvulus belt’ countries; but volvulus of the splenic flexure is a rare condition, even more so when metachronous. Only about half a century of citations has been mentioned in the surgical history since its first mention in literature. Our patient, a young man with a history of previous two abdominal operations presented with signs of intestinal obstruction which were confirmed by radiological findings to be volvulus of splenic flexure. Following failed attempted derotation by flatus tube, he underwent laparotomy, intraoperative derotation of the volvulus followed by resection of the involved segment and colo-colic anastomosis with diverting loop ileostomy. Apart from surgical site infection, his postoperative recovery was uneventful.

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Section: Discussionmentioning

confidence: 99%

Metachronous volvulus of the splenic flexure: a rarer entity

Dhamnaskar¹,

Sawarkar²,

Mandal³

et al. 2018

Int Surg J

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“…Any number of reports on synchronous or metachronous volvulus involving the sigmoid colon and cecum, [39,40] transverse colon, [41,42] small intestines, [43] or even stomach [44] were present in the literature. In such cases, mobile intestines generally arising from intestinal malrotation play an activate role in SV.…”

Section: Pathological Entitiesmentioning

confidence: 99%

Sigmoid volvulus and concomitant clinical entities

Atamanalp,

Disci,

Peksoz

2024

Formos J Surg

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Sigmoid volvulus (SV) is common in elders. For this reason, most geriatric comorbidities accompany SV. Additionally, SV may associate with a great number of physiological or pathological entities. The purpose of this review is to evaluate the kind and the incidence of such comorbidities as well as to discuss their pathophysiology. To obtain all SV-related reports in worldwide data, an electronic search of the last 57-years’ literature (from 1967 to date) was made in Web of Science and PubMed databases by using ‘sigmoid volvulus’ heading. Additionally, we evaluated our results including 1,071 patients treated in 57-year period from June 1966 to July 2023. We noted comorbid entities in each case. Tens of physiological or pathological clinical entities may accompany SV. Some entities may be the cause or result of SV, while some others may mimic SV or mimicked by this disease. Moreover, some factors may predispose to SV, while some others may initiate it. Some of these comorbidities have cause and effect relations, while some others are coincidental. However, the relationship between SV and some comorbid entities as well as underlying pathologies are not clear enough.

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Vólvulo cecal y del colon sigmoide como manifestación gastrointestinal de la esclerosis sistémica: reporte de un caso

2022

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Introducción. La esclerosis sistémica es una enfermedad del colágeno de etiología autoinmune, con manifestaciones gastrointestinales hasta en un 90 % de los pacientes. Aunque es infrecuente, se han descrito algunos casos de vólvulos colónicos, pero es extremadamente rara la presentación de vólvulo cecal y del colon sigmoide en un mismo paciente. Caso clínico. Paciente femenina de 65 años, con antecedente de esclerosis sistémica, quien consultó a urgencias por dolor y distensión abdominal, asociados a emesis, con ausencia de flatos y deposiciones. Por imágenes sugestivas de obstrucción intestinal con zona de transición en el colon sigmoide se indicó laparotomía exploratoria, con hallazgo de vólvulo del sigmoide. Posteriormente reingresó por sintomatología similar, con imágenes sugestivas de vólvulo cecal. Se realizó hemicolectomía derecha con ileostomía y posterior cierre de ileostomía en misma hospitalización. Discusión. El vólvulo del colon sigmoide y ciego en un mismo paciente es una condición muy infrecuente. Existen pocos casos reportados en la literatura. Conclusión. La resección del segmento colónico afectado es el estándar de manejo quirúrgico.

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A Unique Case of Recurrent Metachronous Volvulus of the Gastrointestinal Tract

Cited by 5 publications

References 8 publications

Metachronous volvulus of the splenic flexure: a rarer entity

Metachronous volvulus of the splenic flexure: a rarer entity

Sigmoid volvulus and concomitant clinical entities

Vólvulo cecal y del colon sigmoide como manifestación gastrointestinal de la esclerosis sistémica: reporte de un caso

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