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BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Department of Surgery and Transplantation, Rigshospitalet, Copenhagen Universiy Hospital, Copenhagen, Denmark

Sigmoid volvulus in paediatric patients is a rare but potentially life-threatening condition. Since 1940, only 100 cases have been reported. There are no consensual guidelines for juvenile sigmoid volvulus unlike in adults, where the condition and the treatment is well described. Read More

Pan Afr Med J 2021 5;38. Epub 2021 Jan 5.

Department of General Surgery, Ibn Tofail Hospital, Mohamed VI University Hospital, Cadi Ayad University, Marrakech, Morocco.

The ileosigmoid knot (ISK) or double ileosigmoid volvulus is a wrapping of the small intestine around the base of the sigmoid colon. We report an unusual case in the digestive surgery department of the Ibn Tofail Hospital of CHU Mohammed VI Marrakech of a 28-year-old man with Down's syndrome who presented with symptoms and signs of intestinal obstruction. Abdominal CT scan revealed a whirl sing and significant distension of the sigmoid loop. Read More

Dis Colon Rectum 2021 04;64(4):375-378

Section of Colorectal Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Case Summary: An 88-year-old man with no significant medical history, and in a good state of health, presented to the emergency department with 4 days of obstipation, progressive abdominal pain, and bloating. Examination revealed abdominal distension and generalized tenderness without signs of peritonitis. Laboratory values, including lactate and complete blood count, were within normal limits. Read More

Int J Surg Case Rep 2021 Mar 2;80:105391. Epub 2020 Dec 2.

Wexham Park Hospital, Frimley Health NHS Foundation Trust, General Surgery, Berkshire, UK.

Introduction: Caecal volvulus represents a rare and often life-threatening cause of intestinal obstruction. Diagnosis and management of caecal volvulus remains a clinical challenge, since those presenting with symptoms can have vague nonspecific presentations. Symptoms eventually occur, usually secondary to obstruction or ischaemia. Read More

Surg Case Rep 2021 Jan 11;7(1):13. Epub 2021 Jan 11.

Department of Surgery, California Hospital Medical Center, 1401 S Grand Ave, Los Angeles, CA, 90015, USA.

Background: A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Read More

Int J Surg Case Rep 2020 3;77:875-879. Epub 2020 Dec 3.

Department of Radiology, Kabul University of Medical Sciences, Kabul, Afghanistan; Fellow of Radiology at EGE University Hospital, Izmir, Turkey. Electronic address:

Introduction: Sigmoid volvulus (SV) occurs due to torsion of a dilated sigmoid colon around its mesenteric axis. This causes venous and arterial blood flow obstruction with progressive bowel ischemia, necrosis, and perforation if left untreated. In pediatric surgical practice volvulus of the sigmoid colon remains a rare occurrence and only a few isolated case reports and case series have been reported. Read More

J Med Case Rep 2020 Nov 13;14(1):219. Epub 2020 Nov 13.

Department of General Medicine, Kanazawa Medical University Himi Municipal Hospital, 1130 Kurakawa, Himi-shi, Toyama-ken, 935-8531, Japan.

Background: Abdominal compartment syndrome (ACS) is defined as a sustained raised level of intra-abdominal pressure more than 20 mmHg with or without abdominal perfusion pressure less than 60 mmHg and the development of new end-organ failure. Abdominal surgery, major trauma, volvulus, ileus, distended abdomen, fecal impaction, acute pancreatitis, liver dysfunction, sepsis, shock, obesity, and age have all been reported as risk factors. Herein, we report the severest known case of ACS due to extremely elongated sigmoid colon and rectum plus fecal impaction caused by disuse syndrome and diabetic neuropathy, together with a brief review of the literature. Read More

Pol Przegl Chir 2020 Jun;92(5):1-5

Department of Surgery and Transplantation, Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India, Ram Manohar Lohia Hospital, New Delhi, India.

<b>Introduction:</b> Adult midgut malrotation is very rare. The presentation in adults is mostly subtle; the diagnosis is often made on imaging. <br><b>Case report:</b> A 32-year-old man presented with a 3-day history of an irreducible painful mass protruding per rectum, followed by abdominal pain and constipation. Read More

Eur J Radiol 2020 09 8;130:109155. Epub 2020 Jul 8.

CHU MONTPELLIER, 391 avenue du doyen Gaston Giraud, 34000, Montpellier, France. Electronic address:

Large bowel obstruction (LBO) is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. MDCT has become the standard of care to identify the site, severity, and etiology of obstruction. The goal of this review is fourfold. Read More

Clin Auton Res 2020 12 7;30(6):595. Epub 2020 Jul 7.

Neurology, Internal Medicine, Sakura Medical, Center, Toho University, 564-1 Shimoshizu, Sakura, 285-8741, Japan.

Clin Auton Res 2020 12 26;30(6):593. Epub 2020 Jun 26.

Department of General Surgery, Faculty of Medicine, Ataturk University, 25040, Erzurum, Turkey.

ANZ J Surg 2020 09 3;90(9):1540-1541. Epub 2020 Apr 3.

Department of Clinical Science and Education Södersjukhuset (KI SÖS), Karolinska Institutet, Stockholm, Sweden.

J Community Hosp Intern Med Perspect 2020 10;10(1):45-49. Epub 2020 Feb 10.

Internal Medicine, Jinnah Post Graduate Medical Centre, JSMU, Karachi, Pakistan.

We present a case of sigmoid volvulus in a young male patient with culture-proven Salmonella Typhi in the blood which was sensitive to Meropenem and Azithromycin only, presented with fever, vomiting, loose stools, hematochezia, abdominal distention and tenderness with no signs of perforation on erect chest x-ray. Further, radiological imaging showed signs of sigmoid volvulus. An urgent colonic decompression with untwisting of the mesentery was performed. Read More

Int J Colorectal Dis 2020 May 24;35(5):943-946. Epub 2020 Feb 24.

Department of General and Digestive Surgery, Simone Veil Hospital, 14 rue Saint-Prix, 95600, Eaubonne, France.

Introduction: We present the case of a diabetic patient on treatment with acarbose who had presented a sigmoid volvulus with localized cystic pneumatosis of the sigmoid colon.

Case Report: A 72-year-old patient with a medical history of atrial fibrillation, DNID in treatment since 10 years by acarbose. The patient was admitted to the emergency for abdominal pain and occlusive syndrome since 48 h without fever or nausea or vomiting. Read More

Cleve Clin J Med 2020 02;87(2):81-82

Department of Gastroenterology, Fuyoukai Murakami Hospital, Aomori, Japan

Emerg Med J 2020 Jan;37(1):41-49

Emergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan

Case presentationA 57-year-old man was in a healthy state until 6 hours before presenting to the emergency department, when he suffered from more than 10 episodes of vomiting after a large meal at lunchtime. On physical examination, vital signs were unremarkable. Tenderness was noted over the epigastrium on palpation. Read More

Gan To Kagaku Ryoho 2019 Oct;46(10):1659-1661

Dept. of Surgery, Yokohama City University.

A 52-year-old man whose fecal occult blood test was positive was found to have type 2 sigmoid colon cancer by colonoscopy. On enhanced barium enema study, the cecum was in the pelvis, and the ascending colon was running medially in the abdomen. Enhanced CT scan of the abdomen revealed rotation of the superior mesenteric vein(SMV). Read More

ANZ J Surg 2020 06 18;90(6):1173-1174. Epub 2019 Oct 18.

Department of Surgery, Logan Hospital, Metro South Health, Logan City, Queensland, Australia.

Eur J Obstet Gynecol Reprod Biol 2019 Nov 21;242:184-185. Epub 2019 Sep 21.

From the Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Hebrew University Medical School of Jerusalem, Jerusalem, Israel.

Pan Afr Med J 2019 7;32:106. Epub 2019 Mar 7.

Université Mohamed V, Service de Radiologie des Urgences, Hôpital Avicenne, 10000, Rabat, Maroc.

Ileosigmoid knotting is a rare cause of intestinal obstruction. We report a case of ileosigmoid knotting occurred during the postpartum period. The diagnosis was made by means of CT scan data and confirmed intraoperatively. Read More

Pol Arch Intern Med 2019 09 19;129(9):634-635. Epub 2019 Jun 19.

Department of Infectious, Respiratory, and Digestive Medicine, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan

J Vasc Interv Radiol 2019 Oct 17;30(10):1669-1671. Epub 2019 May 17.

Division of Interventional Radiology, New York-Presbyterian Hospital-Weill Cornell Medical Center, 525 East 68th Street, Box 141 New York, NY 10065.

Eur Radiol 2019 Oct 26;29(10):5723-5730. Epub 2019 Apr 26.

Department of Radiology, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, South Korea.

Objectives: To determine which clinical or CT imaging factors can help accurately identify complicated sigmoid volvulus (SV), defined as irreversible bowel ischaemia or necrosis requiring emergent surgery in patients with SV.

Methods: We performed a retrospective study of 51 patients admitted consecutively to the emergency department for SV. All patients attempted endoscopic detorsion as the first treatment. Read More

Clin J Gastroenterol 2019 Oct 22;12(5):453-459. Epub 2019 Feb 22.

Department of Surgery, Asanogawa General Hospital, Kanazawa, Japan.

The effect of a prior defect on secondary liver atrophy is unknown. We describe a case of sigmoid volvulus that was facilitated by progressive atrophy in a deformed liver. A 75-year-old man with abdominal pain and fullness was referred to our hospital. Read More

BMJ Case Rep 2019 Jan 28;12(1). Epub 2019 Jan 28.

Colorectal Surgery, Saint George Hospital, Kogarah, New South Wales, Australia.

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. Read More

J Med Imaging Radiat Oncol 2019 02 10;63(1):82-83. Epub 2019 Jan 10.

Division of Pulmonology and Critical Care Medicine, Reliant Medical Group, Worcester, Massachusetts, USA.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:85-86

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

Diagn Interv Imaging 2018 11 13;99(11):759. Epub 2018 Sep 13.

Department of Abdominal & Interventional Radiology, Hôpital Cochin, AP-HP, 27, rue du Faubourg Saint-Jacques, 75014 Paris, France; Université Descartes Paris 5, Sorbonne Paris Cité, rue de l'École de Médecine, 75006 Paris, France.

Diagn Interv Imaging 2018 10 7;99(10):675. Epub 2018 Sep 7.

Ataturk University, Faculty of Medicine, Department of General Surgery, Erzurum, Turkey. Electronic address:

QJM 2019 Jan;112(1):59-60

Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kajii-cho 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, Japan.