The principal treatment strategy in sigmoid volvulus
(SV) is emergency endoscopic detorsion in uncomplicated patients, while emergency surgery is recommended for patients with sigmoid gangrene, sigmoid perforation, peritonitis, or unsuccessful endoscopic detorsion.
(SV) may cause ischemia, perforation, sepsis, and finally mortality (1).
1,5,6,7] The gender discrepancy in the patients with males outnumbering females by a huge margin can be possibly accounted for, as a large number of the patients had obstructed inguinal hernia and sigmoid volvulus
, and in our country, mostly males suffer from these conditions.
Plain films as well as a CT scan from the outside hospital were consistent with a sigmoid volvulus
2] Sigmoid volvulus
contributes around two-thirds of all cases of colonic volvulus.
Complications from fecal impaction include bowel obstruction, sigmoid volvulus
, and rectal prolapse.
The "coffee bean" sign is seen on supine plain films of the abdomen in approximately 80% of cases of sigmoid volvulus
Non-operative management of acute sigmoid volvulus
offers a potentially better treatment option in frail patients.
There were no signs of a sigmoid volvulus
but an extremely distended sigmoid colon up to 14 cm was identified (Fig.
Surgeons found he was suffering from the condition Sigmoid Volvulus
in which the bowel twists on itself, stopping blood reaching the vital organ.
While sigmoid volvulus
is slightly more common, cecal volvulus is an equally important and significant pathologic process whose mortality ranges from 12%-17%.
Even though the incidence of traumatic injuries after falls along with cold induced injuries like frostbite (1,2) are common at high altitudes, a review of literature revealed that sigmoid volvulus
and megacolon occurred at an increased incidence at 13,000 feet (3,4).