Case Report (10-2015) Delayed Presentation of Sigmoid Volvulus
DOI:
https://doi.org/10.51984/joms.v13i1.324Keywords:
Sigmoid volvulus,, Intestinal obstruction,, Gangrenous bowel,, Surgical management,Abstract
Sigmoid volvulus (SV) is an unusual condition in Libya, responsible for about 3-5% of all intestinal obstructions. SV is generally described as an illness in elderly patients, persons with psychiatric disorders, or persons living in nursing homes or mental institutions, multiple co-morbidities and an elongated mesosigmoid. The condition can be treated conservatively, but in the presence of fever, high WBC count, perforation, ischaemia and peritonitis, surgery is the best option. This report describes a case of a very large gangrenous sigmoid volvulus in a healthy 65-year-old male. A review of the diagnosis and management is subsequently described. Early identification and management are crucial in treating sigmoid volvulus before the appearance of gangrene, thereby avoiding further complications and associated mortality.
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2018-12-20
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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This article is published open access under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0). You may copy, redistribute, adapt and build upon it for non-commercial purposes, provided you credit the authors, cite the original publication in the Journal of Medical Sciences with its DOI, indicate any changes, and distribute any adaptations under the same licence. Copyright rests with the authors. For commercial reuse, please contact the corresponding author. Full terms: https://sebhau.edu.ly/journal/joms/copyright-licensing
