scholarly journals Sigmoid Volvulus with Widespread Bowel Ischemia after Endoscopic Reduction Successfully Treated with Elective Laparoscopic Surgery

2020 ◽  
Vol 14 (2) ◽  
pp. 286-290
Author(s):  
Koji Yasuda ◽  
Shoji Oura ◽  
Nozomi Kashu ◽  
Hiroyuki Yoshitake ◽  
Tomoya Takami ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Laboratory Test ◽  
Sigmoid Colon ◽  
Plain Radiograph ◽  
Sigmoid Volvulus ◽  
Colon Resection ◽  
Colon Perforation ◽  
Coffee Bean ◽  
Enhanced Computed Tomography ◽  
Successful Reduction

An 87-year-old man complaining of abdominal distention was referred to our hospital. Plain radiograph and enhanced computed tomography (CT) showed a dilated sigmoid colon with a coffee bean sign, leading to the diagnosis of sigmoid volvulus. Based on symptoms and the CT and laboratory test findings, we initially treated the patient with endoscopic reduction, resulting in successful reduction of the sigmoid volvulus with widespread presumed mucosal ischemia. Due both to the lack of emerging symptoms suggesting colon perforation and to the laboratory test findings after endoscopic reduction, we treated the patient without further urgent surgical intervention. Two months later, the patient underwent successful elective laparoscopic surgery with a redundant sigmoid colon resection and a functional end-to-end anastomosis. He has been well without any events for 20 months. Conservative treatment with careful observation should be taken into consideration in the treatment of sigmoid volvulus with mild to moderate ischemia after endoscopic reduction.

scholarly journals A Symptomatic Coffee Bean: Acute Sigmoid Volvulus

2017 ◽  
Vol 11 (2) ◽  
pp. 348-351 ◽  
Author(s):  
Michael Scharl ◽  
Luc Biedermann
Keyword(s):  
Sigmoid Colon ◽  
Guide Wire ◽  
Outlet Obstruction ◽  
Primary Treatment ◽  
Sigmoid Volvulus ◽  
Coffee Bean ◽  
Diagnostic Colonoscopy ◽  
X Ray ◽  
Abdominal Emergency ◽  
Distended Abdomen

An acute sigmoid volvulus is due to the torsion of the sigmoid colon around its mesenteric axis. It mainly occurs in elderly patients and represents an abdominal emergency requiring urgent treatment. A 53-year-old male patient with severe craniocerebral injury and traumatic subarachnoidal bleeding 3 weeks prior presented on the ward with distended abdomen without abdominal pain, muscular defense, or resistances. He featured large volume diarrhea within the last few hours without signs of bleeding. A plain abdominal X-ray demonstrated a coffee bean sign indicating a sigmoid volvulus. A consequent CT scan of the abdomen revealed a deep outlet obstruction with massively dilated, elongated and twisted loop of the sigmoid colon and no signs of perforation. We performed emergency colonoscopy under the assumption of an acute sigmoid volvulus. After careful insertion of the endoscope completely refraining from insufflation of air or CO2, endoscopic reposition of the sigma could be achieved and a colonic drainage was placed over an inserted guide wire up to the proximal transverse colon. No relapse occurred and a diagnostic colonoscopy after 4 weeks revealed no tumor or polyps. Our report describes a classic case of acute sigmoid volvulus and undermines the potential of colonoscopy as conservative primary treatment of choice.

Sigmoid volvulus after laparoscopic surgery for sigmoid colon cancer

2013 ◽  
Vol 6 (3) ◽  
pp. 217-219 ◽  
Author(s):  
Ai Sadatomo ◽  
Yasuyuki Miyakura ◽  
Toru Zuiki ◽  
Koji Koinuma ◽  
Hisanaga Horie ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Sigmoid Colon ◽  
Sigmoid Volvulus ◽  
Sigmoid Colon Cancer

scholarly journals Role of the Enteric Nervous System in the Elongated Sigmoid Colon of Patients With Sigmoid Volvulus

2014 ◽  
Vol 99 (6) ◽  
pp. 699-704
Author(s):  
Ryouichi Tomita ◽  
Kiminobu Sugitou ◽  
Kenichi Sakurai ◽  
Shigeru Fujisaki ◽  
Taro Ikeda ◽  
...  
Keyword(s):  
Nervous System ◽  
Enteric Nervous System ◽  
Sigmoid Colon ◽  
Electrical Field Stimulation ◽  
Sigmoid Volvulus ◽  
Colon Resection ◽  
Autonomic Nerve ◽  
Cholinergic Nerves ◽  
Before And After

Abstract To clarify the physiologic function of the enteric nervous system (ENS) in the elongated sigmoid colon (ESC) of patients with sigmoid volvulus (SV), we examined the enteric nerve responses in lesional and normal longitudinal muscle strips (LMS) derived from patients with ESC and patients who underwent colon resection for colonic cancers. Thirty preparations of LMS were taken from the lesional sigmoid colons of 10 ESC patients with SV (8 men and 2 women, aged 53 to 80 years, mean 66.2 years). Forty preparations of LMS were taken from the normal sigmoid colons (NSC) of 20 patients with colonic cancer (12 men and 8 women, aged 55 to 76 years, mean 62.3 years). A mechanographic technique was used to evaluate in vitro muscle responses to electrical field stimulation (EFS) before and after treatment with various autonomic nerve blockers. Response to EFS before blockade of the adrenergic and cholinergic nerves was as follows: NSC and ESC significantly demonstrated relaxation reaction rather than contraction reaction (P = 0.0253, P < 0.0001, respectively). ESC showed relaxation reaction more than NSC (P = 0.1138). Response to EFS after blockade of the adrenergic and cholinergic nerves was as follows: NSC and ESC significantly demonstrated relaxation reaction via nonadrenergic noncholinergic (NANC) inhibitory nerves rather than contraction reaction via NANC excitatory nerves (P < 0.0001, P < 0.0001, respectively). ESC with SV significantly showed relaxation reaction more than NSC (P = 0.0092). An increased response of relaxation mediated NANC inhibitory nerves may play a role in impaired motility in the ESC of patients with SV.

scholarly journals Laparoscopic surgery for diverticular colovesical fistula: Single–center experience of 11 cases

2020 ◽  
Author(s):  
Daichi Kitaguchi ◽  
Tsuyoshi Enomoto ◽  
Yusuke Ohara ◽  
Yohei Owada ◽  
Katsuji Hisakura ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Surgery ◽  
Sigmoid Colon ◽  
Colon Resection ◽  
Colovesical Fistula ◽  
Conversion To Open Surgery ◽  
Single Center Experience ◽  
Preoperative Risk Factors ◽  
Grade Ii ◽  
Magnetic Resonance Imaging Mri

Abstract Objective: Laparoscopic surgery for diverticular colovesical fistula (CVF) is technically challenging, and the incidence of conversion to open surgery (COS) is high. The aims of this study were to review our experience with laparoscopic surgery for diverticular CVF and to identify preoperative risk factors for COS. Results: This was a single institution, retrospective, observational study of 11 patients who had undergone laparoscopic sigmoid colon resection with fistula resection for diverticular CVF from 2014 to 2019. Preoperative magnetic resonance imaging (MRI) was utilized to evaluate fistula location in the bladder, patency of the rectovesical pouch, and estimated contact area between the sigmoid colon and bladder. The relationship between preoperative variables and incidence of COS was analyzed between completed laparoscopy and COS groups. The overall incidence of postoperative morbidity (Clavien–Dindo classification Grade II or higher) was 36% (4/11). Severe morbidity, reoperation, and mortality were not observed. The incidence of COS was 27% (3/11). Posterior bladder fistulas were significantly associated with COS ( p = 0.006 ). CVFs located on the posterior bladder appears to be a risk factor for COS. Identifying the risk factors for COS preoperatively could help guide the intraoperative course.

scholarly journals A rare case report of ovarian torsion with sigmoid volvulus

2020 ◽  
Vol 9 (7) ◽  
pp. 3055
Author(s):  
Shraddha A. Mevada ◽  
Archana A. Bhosale ◽  
Madhuri A. Mehendale
Keyword(s):  
Sigmoid Colon ◽  
Alimentary Tract ◽  
Abdominal Distension ◽  
Sigmoid Volvulus ◽  
Ovarian Torsion ◽  
Coffee Bean ◽  
Suspensory Ligament ◽  
Rare Case Report ◽  
Fluid Levels ◽  
Ovarian Pedicle

Ovarian torsion results from twisting of the ovary about the suspensory ligament, which contains the ovarian artery and vein, lymphatic’s, and nerves. Volvulus is a torsion of a segment of the alimentary tract, that often leads to intestinal obstruction. Ovarian torsion leading to sigmoid volvulus is the rarest complication which authors found in this case. Hence the case was presented. A 28-year-old women presented with acute pain in abdomen since 14 hours, followed by 2 episodes of vomiting, abdominal distension since 10 hours. Plain X-ray Abdomen erect was done which showed ‘Coffee bean’ sign with multiple air fluid levels suggestive of sigmoid volvulus. On laparotomy, after opening the peritoneum, large right ovarian cyst around 12×11×10 cm with solid and haemorrhagic content with long pedicle around 8 cm with 3 turns of torsion was noted. Abutting the ovarian mass, sigmoid colon was seen twisted around its mesentery including the twisted ovarian pedicle. Hence, the twisted component included the twisted ovarian pedicle and twisted sigmoid mesentery. Stepwise detorsion of ovarian pedicle followed by oophorectomy was done. For sigmoid volvulus, resection of vascular compromised sigmoid colon and descending colon stoma was done. Reanastomosis was done later after 3 months post operatively.

The role of the anatomy of the sigmoid colon in developing sigmoid volvulus: a cross-sectional study

2012 ◽  
Vol 35 (3) ◽  
pp. 249-257 ◽  
Author(s):  
Olusegun Isaac Alatise ◽  
Olusegun Ojo ◽  
Polycarp Nwoha ◽  
Ganiyat Omoniyi-Esan ◽  
Abidemi Omonisi
Keyword(s):  
Sigmoid Colon ◽  
Cross Sectional Study ◽  
Sigmoid Volvulus ◽  
Sectional Study ◽  
Cross Sectional

The Coffee Bean Sign: Diagnosing Sigmoid Volvulus in an 8-Year-Old Child

2015 ◽  
Vol 227 (02) ◽  
pp. 98-99 ◽  
Author(s):  
T. Theilen ◽  
H. Fiegel ◽  
S. Gfrörer ◽  
U. Rolle
Keyword(s):  
Sigmoid Volvulus ◽  
Coffee Bean

scholarly journals Sigmoid Colon Perforation Occurred in 12 years after Renal Transplantation

2006 ◽  
Vol 39 (5) ◽  
pp. 620-625 ◽  
Author(s):  
Hiroaki Takeshita ◽  
Takashi Tsuji ◽  
Terumitsu Sawai ◽  
Shigekazu Hidaka ◽  
Shinichi Shibazaki ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Sigmoid Colon ◽  
Colon Perforation ◽  
Sigmoid Colon Perforation
Sign in / Sign up

Export Citation Format

Share Document