Xtolvulus of the colon is an uncommon but lethal cause of large bowel obstruction. Sigmoid volvulus is the third leading cause of colon obstruction in adults but is rare in infants and children. Acute sigmoid volvulus is defined as torsion of the sigmoid colon around its mesenteric axis, which leads to acute large intestine obstruction, which, if left untreated, often results in lifethreatening complications, such as bowel ischemia, gangrene, and perforation1,2. Early and correct diagnosis of this disease is essential for appropriate. The area of intestine above the obstruction caused by the colon volvulus continues to function and fills with food, fluid and gas. Volvulus du grele le volvulus du grele realise le tableau typique des occlusions hautes par strangulation.
Another issue is the higher prevalence of sigmoid volvulus in men than women. Volvulus, sigmoide, colectomie ideale, bobodioulasso. The medical literature is studded with cases of volvulus of the colon. Volvulus twist of the bowel around its own mesentery. Full text full text is available as a scanned copy of the original print version. Volvulus of the transverse colon in children, journal of.
Il sagit dune etude retrospective qui a porte sur 10 ans janvier 2000 decembre 2009. An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. It is common in asia, india 7% of intestinal obstruction and especially south india because of the high fibre diet. The incidence of cecal volvulus is reported to range from 2.
Listing a study does not mean it has been evaluated by. Traitement chirurgical du volvulus du colon sigmoide. The ladd procedure for adult malrotation with volvulus. The incidence of colon volvulus varies in different regions of the world. Rapporter les resultats du traitement des volvulus du colon sigmoide. The cecum is the second most common site for volvulus. Ils constituent une urgence diagnostique et therapeutique. A 43yearold patient with a history of colectomy for colonic inertia and megadolichocolon was admitted to. Volvulus of the transverse colon in children volvulus of the transverse colon in children houshian, shirzad. A significant advance in treatment of diverticulitis with free perforation or abscess. Volvulus colon sigmoidetraitement chirurgical colectomie ideale colostomie tchad introduction le volvulus du colon pelvien ou sigmoide est une occlusion par strangulation provoquee par une torsion du sigmoide sur son propre meso. Such a type of condition can gradually lead to tissue death. Volvulus du sigmoide traitement endoscopique traitement chirurgical.
Thus, in the socalled volvulus belt, an endemic area that includes africa, south america, russia, eastern europe, the middle east, india and brazil, colonic volvulus represents to 42% of all intestinal obstructions 4. The most common sites of volvulus are the sigmoid colon and cecum. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Normally, the cecum and ascending colon are fixed to the abdominal wall. The colon and its mesentery twist, leading to a closed loop colonic obstruction, a more proximal intestinal obstruction, and an abdominal crisis. Torsion results in narrowing of the lumen at the point of rotation and compromise of the vessels that supply the torted gut. Volvulus du sigmoide, devolvulation endoscopique, resection. In the practice of abdominal surgery a clear conception of the various possibilities of derangement of intestinal rotation and fixation is essential.
A redundant colon is an abnormally long colon that also has additional loops or twists. It is the most common intestinal volvulus and is an absolute medical and surgical emergency. It is a common cause of bowel obstruction and constipation. Intestinal volvulus synonyms, intestinal volvulus pronunciation, intestinal volvulus translation, english dictionary definition of intestinal volvulus. Hirschsprung disease is a neonatal discovery in almost all cases, and the association of hirschsprung disease in adults with symptomatic intestinal malrotation is unusual.
Volvulus occurs most frequently in middleaged and elderly men. Volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel obstruction. Appropriate treatment of acute sigmoid volvulus in the. Cette pathologie touche tous les segments mobiles du colon. Mar 14, 2017 prise en charge des volvulus du colon sigmoide. This combination delays diagnosis and can lead to mistake in surgical strategy. Abnormal twisting of the intestine causing obstruction. Prise en charge du volvulus du sigmoid aux chu du point g. Volvulus of other portions of the alimentary tract, such as the stomach, gallbladder, small bowel, splenic flexure, and transverse colon, are rare. Anatomically, this diagnosis involves the terminal ileum, cecum, and proximal right colon. The sigmoid volvulus is an acute strangulation of the colon by the twisting of the sigmoid loop around its mesenteric axis resulting in partial or complete obstruction of the colonic lumen. Learn about symptoms, treatments, athome care, and more. Volvulus is defined as a torsion of a portion of the gastrointestinal tract. Sometimes the affected part of the colon must be removed and the healthy ends reattached, a procedure called an intestinal resection.
A 75year old male presented to the emergency room with worsening abdominal pain and distension. We need to determine whether the patient with suspected volvulus has a viable colon and is a candidate \. Publications home of jama and the specialty journals of. Volvulus is a condition in which the bowel twists on itself, causing obstruction to the flow of material through the bowel.
Colonic volvulus affects between three and seven million people per year. Sigmoid volvulus is the mostcommon form of volvulus. In the absence of ischaemic changes within the redundant bowel, success can be anticipated with conservative fixation procedures. More commonly seen in people ages 30 to 60, cecal volvulus may be caused by abdominal adhesions, severe coughing, or pregnancy. This is a descriptive and retrospective study during 5 years, led in the unit of digestive and general surgery of aristide le dantec teaching hospital dakarsenegal. Colonic volvulus may involve the cecum and terminal ileum, the transverse colon, the splenic flexure or the sigmoid colon. Sigmoid colon is characterized by torsion of the sigmoid loops of the colon, causing mechanical obstruction of the passage leading to the rectum and restriction of blood supply. Cecal volvulus is twisting of the cecum and ascending colon. Il survient le plus frequemment chez le sujet age mais il peut apparaitre a tout age. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. Intestinal malrotation is a defect that occurs at the 10th week of gestation. A colon volvulus is an abnormal twisting of a portion of the gastrointestinal tract which can impair blood flow.
Cours gratuits gastrologie le volvulus du colon pelvien. Le volvulus du sigmoide est une urgence medicochirurgicale frequente. Listing a study does not mean it has been evaluated by the u. During this stage of development, the intestines normally migrate back into the abdominal cavity following a brief period where they are temporarily located at the base of the umbilical cord. For examples, perlman 1 reported 111 cases from a russian clinic, griffin, bartron and meyer 2 discussed 37 cases in patients admitted to cook county hospital between 1937 and 1945, and braun and wortman 3 listed 31 cases seen at friedrichshain hospital in berlin when the incidence of volvulus. Searches were carried out using medical subject headings mesh and free textwords including sigmoid colon volvulus. Cecal volvulus definition of cecal volvulus by medical. Le volvulus du colon pelvien est rare en europe et aux etatsunis ou il represente 4 a 5% des occlusions. Volvulus twist of the bowel around its own mesentery closed loop obstruction obstruction of the bowel at 2 points in 1 location strangulation obstruction of the bowel with interruption of its blood supply. Intestinal volvulus definition of intestinal volvulus by. Le volvulus du colon pelvien blog du chalet espace des. Free scirp newsletters add your email address to receive free newsletters from scirp. Modified hartmann procedure in emergency sigmoid colectomy.
Volvulus du colon pelvien cancer du colon rtt scribd. Get a printable copy pdf file of the complete article 1. My sigmoid volvulus is redlined and the labs arent on the chart. It can also lead to obstruction of the blood supply to the intestine itself, which can result in tissue death within the bowel. Intestinal volvulus is a broad term that describes the torsion of bowel around its mesentery. In the context sigmoid volvulus the colon may be described as having a coffee bean sign. Volvulus of the transverse colon is a rare condition requiring early diagnosis and treatment. Cette patiente etait par ailleurs suivie pour une grossesse mono foetale evolutive estimee a 32 semaines et 02 jours confirmee a lechographie. If improperly attached, they can move and become twisted. Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Jul 23, 2015 sigmoid volvulus is a leading cause of acute colonic obstruction in south america, africa, eastern europe and asia but is rare in developed countries such as the usa, uk, japan and australia. The aim of this study was to report the result of surgical treatment of volvulus of the sigmoid colon by colectomy in 2 phases.
The reference lists of all relevant articles were searched for other relevant studies. Les volvulus du colon sont une cause rare mais grave docclusion colique organique 1% occlusions intestinales. Management of the leaking rectal stump after hartmanns procedure. This article is from the pan african medical journal, volume 12. Free fulltext pdf articles from hundreds of disciplines, all in one place toggle navigation. Prise en charge des volvulus du colon sigmoide springerlink. The disorder is characterized by twisting of intestine that obstructs the blood supply. Semiologie chirurgicale volvulus du sigmoide youtube. The american society of colon and rectal surgeons clinical practice guidelines. Volvulus is a benign colonic pathology of the cecum or sigmoid colon. For examples, perlman 1 reported 111 cases from a russian clinic, griffin, bartron and meyer 2 discussed 37 cases in patients admitted to cook county hospital between 1937 and 1945, and braun and wortman 3 listed 31 cases seen at friedrichshain hospital in berlin. Colon volvulus digestive diseases i ohio state medical center. Surgical management of sigmoid volvulus maria georgiades, md october 18, 2012.
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