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Cureus 2022 Mar 16;14(3):e23228. Epub 2022 Mar 16.

Gastroenterology, Staten Island University Hospital - Northwell Health, New York, USA.

Signet ring cell carcinoma (SRCC) is an uncommon and poorly differentiated tumor. It arises mostly in the gastrointestinal tract. The incidence of gastric SRCC has increased in the past few years. Read More

Cureus 2022 Jan 18;14(1):e21379. Epub 2022 Jan 18.

Department of General Surgery, Ministry of National Guard-Health Affairs, Riyadh, SAU.

Bowel obstruction is a surgical emergency that leads to a high rate of admissions. Twenty percent of patients with acute abdominal pain will be diagnosed with bowel obstruction; eighty percent of them are of small origin. It is classified based on etiology to either mechanical or functional. Read More

Int J Surg Case Rep 2022 Feb 31;91:106805. Epub 2022 Jan 31.

University of Health Sciences, Tepecik Training and Research Hospital, Tepecik, İzmir, Turkey.

Introduction And Importance: Various methods have been described in the repair of ureteral defects. Here, it is aimed to present the repair performed with appendiceal interposition without any double J stent for the left ureteral defect in a patient who was operated on urgently due to obstruction with metastatic and locally advanced colon tumor.

Case Presentation: An 82-year-old male patient was taken to an emergency operation with the diagnosis of ileus. Read More

Diagn Interv Imaging 2022 Feb 25;103(2):65-66. Epub 2022 Jan 25.

Department of Radiology, Hamilton General Hospital, McMaster University Hamilton, ON, Canada L8L 2 × 2. Electronic address:

Diagn Interv Imaging 2022 Feb 24;103(2):79-85. Epub 2022 Jan 24.

Department of Radiology, University Hospital of Besançon, 25000 Besançon, France; EA 4662 Nanomedicine Lab, Imagery and Therapeutics, University of Bourgogne-Franche-Comté, 25000 Besancon, France.

Purpose: The purpose of this study was to identify computed tomography (CT) features associated with early recurrence of sigmoid volvulus (SV) after a first uncomplicated episode and to develop a score for early SV recurrence risk stratification.

Materials And Methods: A total of 95 patients (59 men, 36 women; mean age, 72 ± 15 [SD] years; age range: 57-87 years) who underwent abdominal CT examination for a first uncomplicated SV episode from January 1 2006 to July 31 2020 in two French University Hospitals were retrospectively included. A SV recurrence occurring within six months was defined as early SV recurrence. Read More

Cureus 2021 Dec 10;13(12):e20338. Epub 2021 Dec 10.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Large bowel obstruction is a surgical emergency that requires prompt diagnosis and management. It is frequently caused by colon cancer. However, the common benign etiologies include volvulus, hernia, adhesions, and strictures. Read More

Cir Cir 2021 ;89(S2):4-8

General Surgery Service, ABC Medical Center, Mexico City, Mexico.

A 102-year-old female with a past medical history of sigmoid volvulus resolved by colonoscopy a year ago presents to the emergency department with sigmoid volvulus, which is resolved by colonoscopy and rectal tube placement. Three days later, she presented abdominal distention and recurrence of the volvulus, for which a surgical resolution was decided. Laparotomy was performed, where sigmoid and cecal volvulus was found. Read More

Dis Colon Rectum 2022 02;65(2):e85

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

J Med Case Rep 2021 Nov 10;15(1):554. Epub 2021 Nov 10.

Department of General Surgery, Kilimanjaro Christian Medical Centre, P O Box 3010, Moshi, Tanzania.

Introduction: Sigmoid volvulus in pregnancy is a rare cause of intestinal obstruction with high maternal and fetal morbidity and mortality if not diagnosed and managed early.

Case Presentation: A 29-year-old female (Chagga by tribe) presented with clinical features of intestinal obstruction 24 weeks into her second pregnancy. She had symptoms for one week. Read More

Cureus 2021 Sep 14;13(9):e17974. Epub 2021 Sep 14.

Division of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, USA.

Colonic volvulus (CV) is the third leading cause of colonic obstruction in adults. In infants and children, this is exceedingly rare, with only sporadic cases reported so far. We present two cases of CV to highlight the differences in etiology, presentation, diagnosis, and treatment of this condition. Read More

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(9):859-867

Department of Gastroenterology, Takamatsu Red Cross Hospital.

We analyzed the clinical features of 157 patients admitted to 11 institutions in the Kagawa Prefecture for volvulus of the sigmoid colon. The following were the background information of the patients:median age, 79.0 years;male-to-female ratio, 102:55;median body mass index, 20. Read More

Am J Emerg Med 2022 02 20;52:269.e3-269.e5. Epub 2021 Aug 20.

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States.

Sigmoid volvulus occurs when a portion of sigmoid colon twists around its blood supply at the base of the mesentery, causing ischemia and necrosis. In developed nations, this is most commonly a condition of elderly, bed-bound, chronically constipated individuals. However, this condition may occur after blunt abdominal trauma, especially in individuals with underlying anatomic derangements from the aforementioned conditions. Read More

Am Surg 2021 Aug 30:31348211041564. Epub 2021 Aug 30.

Department of Surgery, 20115VA North Texas Health Care System, Dallas, TX, USA.

Background: In the United States, the third leading cause of a large bowel obstruction (LBO) is colonic volvulus with torsion occurring most commonly in the sigmoid and the cecum. Transverse colonic volvulus (TCV) is exceedingly rare and specific involvement of the splenic flexure (SFV) is even less common. The present analysis was undertaken to interrogate current trends in presentation, management, and outcomes of TCV. Read More

J Int Med Res 2021 Jul;49(7):3000605211032429

University Medical Centre Maribor, Maribor, Slovenia.

Sigmoid volvulus is an extremely rare cause of intestinal obstruction in pediatric patients. This condition occurs when a redundant sigmoid loop with a narrow mesenteric base of attachment to the posterior abdominal wall rotates around its mesenteric axis. This situation might result in vascular occlusion and large bowel obstruction. Read More

Radiol Case Rep 2021 Sep 2;16(9):2429-2433. Epub 2021 Jul 2.

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Division of Radiology, AOU Policlinico Universitario G. Martino, University of Messina, Via consolare Valeria 1, 98125, Messina, Italy.

Sigmoid volvulus occurs when the sigmoid colic loop gets wrapped around its own mesocolon. While this condition is categorized as an extremely rare emergency in the pediatric population, diagnosis is often difficult due to the fact that its aspecific manifestations or sneaky symptoms are similar to other medical conditions. The available treatment options remain controversial up to this day, and the non-operative approach is more preferred in treating hemodynamic stable patients. Read More

Cureus 2021 May 29;13(5):e15315. Epub 2021 May 29.

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Injury to the inferior epigastric artery is infrequent and iatrogenic in most cases, which can be fatal and life-threatening in some cases due to unnoticed excessive hemorrhage. We present a 23-year-old male who underwent sigmoidectomy, end-to-end colorectal anastomosis with covering loop ileostomy for sigmoid volvulus. He developed intra-abdominal pus collection one week following surgery, for which ultrasound-guided aspiration was attempted. Read More

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

Pediatr Emerg Care 2021 05;37(5):e277

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

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

Clin J Gastroenterol 2021 04 17;14(2):693. Epub 2021 Jan 17.

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

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

Clin J Gastroenterol 2021 04 3;14(2):694-695. Epub 2021 Jan 3.

Department of Internal Medicine, Asanogawa General Hospital, 83 Kosaka-machi Naka, Kanazawa, 920-8621, Japan.

Am J Med 2021 06 14;134(6):e388-e389. Epub 2021 Jan 14.

Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Japan. Electronic address:

Rev Esp Enferm Dig 2021 Jan;113(1):71-72

Aparato Digestivo, Hospital Royo Villanova, España.

We report the case of a 96-year-old institutionalized male, with severe dementia, who was admitted to our hospital with sigmoid volvulus. After successful decompression, the patient developed recurrent sigmoid volvulus twice within 76 hours, which required endoscopic repositioning. However, after a new recurrence and rejecting surgery, we chose percutaneous endoscopic colostomy, using the standard gastrostomy technique, in order to fix the mobile intestine to the abdominal wall to prevent torsion. 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

Dig Dis Sci 2021 05 14;66(5):1759-1760. Epub 2020 Sep 14.

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