Sigmoid Volvulus in a Young Woman Nearly Misdiagnosed as Fecal Impaction

Chang, Chih-Jung; Hsieh, Tsung-Hung; Tsai, Kuang-Chau; Fan, Chia‐Ming

doi:10.1016/j.jemermed.2012.02.084

Cited by 6 publications

(12 citation statements)

References 9 publications

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“…Anatomic variations in length and position of the sigmoid colon and its mesocolon are closely related to an abundance of acute and chronic pathological conditions, sigmoid volvulus, severe confusions in radiological diagnosis and difficulties in the instrumentation of sigmoidoscopy and colonoscopy as well [ [1] , [2] , [5] , [6] , [7] ]. Such an anatomic variation is the presence of a redundant loop of sigmoid colon, as in the presented case.…”

Section: Discussionmentioning

confidence: 99%

Anomalous course of the sigmoid colon and the mesosigmoid encountered during colectomy. A case report of a redundant loop of sigmoid colon

Zarokosta

Piperos

Zoulamoglou

et al. 2018

International Journal of Surgery Case Reports

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HighlightsA redundant sigmoid colon is defined as one that is too long to fit into its owner’s body without undergoing reduplication.It is associated with acute and chronic pathological conditions, sigmoid volvulus and serious confusions in radiological diagnosis and instrumentation of imaging procedures.Surgeons, obstetricians and radiologists ought to be aware of this variation and to emphasize to the correlation between gross and clinical anatomy, since their awareness determines the outcomes of an operation and the accurate radiographic diagnosis.

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Section: Discussionmentioning

confidence: 99%

Anomalous course of the sigmoid colon and the mesosigmoid encountered during colectomy. A case report of a redundant loop of sigmoid colon

Zarokosta

Piperos

Zoulamoglou

et al. 2018

International Journal of Surgery Case Reports

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“…Such symptoms progresses rapidly in younger patients. Rectal examination may be completely normal or appear as red blood or in form of melena [4]. Dehydration, hematochezia, abdominal mass and fecaloid breath odor are other findings [4].…”

Section: Discussionmentioning

confidence: 99%

“…Rectal examination may be completely normal or appear as red blood or in form of melena [4]. Dehydration, hematochezia, abdominal mass and fecaloid breath odor are other findings [4]. Unless gangrene develops in the colon, peritoneal irritation findings are not detected.…”

Section: Discussionmentioning

confidence: 99%

A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus

Koç¹,

Özçelik²

2018

Journal of Surgery and Medicine

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Sigmoid volvulus (SV) is a rare, but also life-threatening disease if not diagnosed earlier. SV appears as torsion of the sigmoid colon around its mesentery and causes necrosis, perforation, peritonitis and sepsis when obstruction and ischemia progresses in the colon segment. The important issue in SV to keep in mind is consideration of this rare condition during detailed examination of the history, physical examination and laboratory findings in the patient who refers because of some complaints such as abdominal pain, constipation and distention. This would allow planning the advanced radiological examinations and adequate treatment protocols to confirm the diagnosis.

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“…Intestinal obstruction contraindicates treatment with oral solution [ 32 ], and its early identification therefore changes the patient’s treatment and prognosis. Differential diagnosis must be done with colonic volvulus, which represents he third cause of colonic obstruction, typical in chronic constipation and elderly people [ 33 ]; clinical manifestations present with the triad of constipation, progressive abdominal distension, and severe abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Fecal impaction: a systematic review of its medical complications

et al. 2016

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BackgroundFecal impaction (FI) is a common problem in the elderly and other at-risk groups, such as patients with a neuro-psychiatric disease. It has been associated with medical problems and high morbi-mortality. A systematic review of this topic might be useful to improve the knowledge in this area and helpful to make an appropriate and early diagnosis.MethodsA PubMed systematic search was performed using relevant keywords. Case reports published in English, Spanish or French till June 2014 were included if they had a diagnosis of FI and a medical complication secondary to it. Each case was classified based on its principal complication. The main objective is to create a classification of FI complications based on published clinical cases.Results188 articles met inclusion criteria, comprising 280 clinical cases. Out of the total, 43,5 % were over 65 years old, 49 % suffered from chronic constipation, 29 % had an underlying neuropsychiatric disease and 15 % were hospitalised or institutionalised. A total of 346 medical complications secondary to FI were collected. They were divided according to gastrointestinal tract involvement and then classified based on their anatomical and pathophysiological mechanism into three groups: Complications secondary to fecaloma effect on the intestinal wall (73.4 %), on the intestinal lumen (14 %) and on adjacent structures (12.6 %).ConclusionsFI causes complications that might be fatal. The elderly, underlying neuropsychiatric disease and hospitalised or institutionalised patients integrate the high-risk group in which FI must be suspected. The first FI complications classification is presented to improve the knowledge about this entity.

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Sigmoid Volvulus in a Young Woman Nearly Misdiagnosed as Fecal Impaction

Cited by 6 publications

References 9 publications

Anomalous course of the sigmoid colon and the mesosigmoid encountered during colectomy. A case report of a redundant loop of sigmoid colon

Anomalous course of the sigmoid colon and the mesosigmoid encountered during colectomy. A case report of a redundant loop of sigmoid colon

A rare cause of acute abdominal pain in a child: Giant sigmoid volvulus

Fecal impaction: a systematic review of its medical complications

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