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Vólvulo gástrico: presentación de un caso
Guerra Pérez,Emilio; Llamas Fonte,Marcial; Torres Aja,Lidia;
MediSur , 2010,
Abstract: gastric volvulus is a rare entity that was first described by berti in 1866 while performing a necropsy. in 1896, berg first established the diagnosis during the operation. in 1904, borchardt described the classic triad of epigastric distension with pain, difficulty for the nasogastric tube to pass and nausea without vomiting. a case of a female patient aged 73 and 56 kg in weight, with a history of ischemic heart disease and gastric ulcer, who visited the emergency department because of vomiting, diffuse abdominal pain and bloating is presented. she had a surgery on an urgent basis to confirm the diagnosis of mixed gastric volvulus without vascular compromise. gastropexy was performed with the diaphragm. this patient progressed satisfactorily, allowing hospital discharge 72 hours after surgery. due to the weirdness of this case it was decided to have it published.
Sigmoid volvulus complicating pregnancy
De Utpal,Kamal De K
Indian Journal of Medical Sciences , 2005,
Abstract: Sigmoid volvulus complicating pregnancy is an extremely rare complication with fewer than 76 cases reported in literature. We report a case of sigmoid volvulus complicating pregnancy. The sigmoid colon was resected and Hartman′s colostomy was performed. The patient had a successful recovery. Aggressive resuscitation followed by early surgical intervention should be undertaken to reduce maternal and fetal morbidity and mortality.
Acute volvulus of the right colon: a case report
Turkish Journal of Emergency Medicine , 2009,
Abstract: Acute volvulus of the right colon is an uncommon cause of intestinal obstruction and is rarely diagnosed correctly at the time of presentation. The aim of the study is to discuss the clinical features and management volvulus of right colon. We report a case in an 81-year-old man was referred from a primary care centre with a four-day history of abdominal pain, distension and vomiting. He had undergone left inguinal hernioraphy for incarseration before 5 days. An emergency laparotomy was performed. The caecum was grossly distended with several areas of gangrene, and lay in the left side of the abdomen in operation. Right colon had rotated in a counter-clockwise rotation. An extended right hemicolectomy was subsequently performed. The operative management of volvulus of the right colon remains controversial. A review of the literature, it appears that right hemicolectomy is the treatment of choice for volvulus of the right colon, as it avoids all risk of recurrence and mortality is lower than that obtained with conservative treatment.
Evaluation of Onchocerciasis: A Decade of Post Treatment with Ivermectin in Zainabi and Ririwai Doguwa Local Government Area of Kano State  [PDF]
D. A. Sufi, Tukur Zainab
Advances in Entomology (AE) , 2015, DOI: 10.4236/ae.2015.31001
Abstract: Rapid Assessment Method (RAM) were carried out to assess the current situation of Onchocerciasis after repetition of annual community directed distribution of Ivermectin in Zainabi and Ririwai of Doguwa Local Government area of Kano State. Certain manifestations, like nodules, leopard skin and blindness, were used to measure the endemicity level in the community. The subjects of 30 - 50 years who are engaged in rural occupation, resident in that community, were examined for the presence of nodules, skin lesion and blindness. The common manifestation in both communities is nodules with 3 (3.40%) and 2 (3.44%). Leopard skin and blindness were found in Zainabi with 2 (2.27%) and 2 (2.27%). The manifestation of Onchocerciasis was found in older age groups of 49 - 70 and 50 - 69 respectively, which give an indication that the disease was eliminated in the community due to mass distribution of Ivermectin in the previously known endemic community. We recommend mass distribution of Mectizan in other identified endemic foci.
Observations on a Giant Sigmoid Volvulus with Unusual Clinical Presentation and Challenging Postoperative Course: Case Report  [PDF]
Giuseppe Pisano, Pietro Giorgio Calò, Stefano Piras, Enrico Erdas
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.611072
Abstract: Introduction: The present report describes a case of a giant sigmoid volvulus (SV) where acute respiratory distress was associated with toxic megacolon. Clinical features, surgical treatment and postoperative course deserved our attention and discussion. Presentation of Case: A 67-year-old man with psychiatric disturbances was admitted to our Department with severe respiratory distress due to an enormous abdominal distension caused by a sigmoid volvulus. Endoscopic derotation was unsuccessful and surgery immediately performed. After a wide colonic resection the patient underwent a prolonged treatment in the Intensive Care Unit. Death occurred 34 days after the operation for secondary infection of peritoneal effusion. Discussion: Main clinical features of SV pertain to abdominal compartment while in the present case acute respiratory distress was the prominent symptom; in the same time the severity of the case was due to the association of high abdominal pressure together with a toxic megacolon. Postoperative treatment consisted in ventilatory support, with a progressive shift from asssisted to spontaneous ventilation; repeated sessions of haemodialysis were necessary to manage renal failure up to recovery of the urine output. Bacterial trans location due to toxic megacolon was responsible of late infection of ascitic fluid. In spite of multiple antibiotic association according to bacterial cultures, intra-abdominal abscesses eventually developed causing fatal outcome 34 days after the first intervention. Conclusion: Severe clinical presentation required a prolonged and demanding postoperative course which was focused on the recovery of respiratory, cardiac and renal function even if fatal outcome was due to septic complications. Suspicion of late infection of ascitic fluid could arise from persistently high values of inflammation indexes and drive to an earlier drainage of the abdominal abscesses.
Volvulus Acute of the Colonist Sigmoid to Mopti: Diagnostic and Therapeutic Aspects  [PDF]
Bréhima Bengaly, Abdoulaye Kanté, Drissa Ouattara, Bréhima Coulibaly, Drissa Traoré, Birama Togola, Babou Ba, Souleymane Sanogo, Siaka Diallo, Djibril Traoré, Moustapha Issa Magané, Mariam Daou, Nouhoum Ongo?ba
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.911050
Abstract: In 7 years, we brought together 100 cases of volvulus of the colon sigmoid to the hospital Sominé Dolo of Mopti among which the handle volvule was found without necrosis in 66 cases and necrosis 34 cases. Seventy-six patients benefited from a sigmoidectomy followed by a colorectal anatomize at a time, twenty one patients of an intervention of Hartmann. A surgical distortion was realized at 3 patients. All the patients operated by these last two techniques had a restoring of the digestive continuity for an average deadline of 90 days. The post-operative complications consisted of 11 cases of parietal suppuration and a case of evisceration. The average duration of follow-up was of 210 days. The post-operative mortality was 14%. It was about a state of toxic shock with visceral multi-failure (n = 13), and of a pulmonary embolism (n = 1). The treatment of the volvulus requires a fast diagnostic and therapeutic coverage. The best treatment consists of a resection of the sigmoid as a matter of urgency followed by an immediate anastomosis if the following conditions are carried achieved: state general voucher, experimented surgeon and if the resuscitation meadow, per and post-operative can be assured.
Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus
Al-Alawi Ibrahim
Saudi Journal of Gastroenterology , 2010,
Abstract: Sigmoid volvulus is a common cause of large bowel obstruction in western countries and Africa. It accounts for 25% of the patients admitted to the hospital for large bowel obstruction. The acute management of sigmoid volvulus is sigmoidoscopic decompression. However, the recurrence rate can be as high as 60% in some series. Recurrent sigmoid volvulus in elderly patients who are not fit for definitive surgery is difficult to manage. The percutaneous endoscopic placement of two percutaneous endoscopic colostomy tube placement is a simple and relatively safe procedure. The two tubes should be left open to act as vents for the colon from over-distending. In our opinion, this aspect is key to its success as it keeps the sigmoid colon deflated until adhesions form between the colon and the abdominal wall.
Radiographic and Ultrasonographic Findings in Three Surgically Confirmed Cases of Small Intestinal Ischemia Related to Mesenteric Volvulus or Intestinal Torsion in Dogs  [PDF]
Elina Rautala, Pia Bj?rkenheim, Merja Laitinen
Open Journal of Veterinary Medicine (OJVM) , 2017, DOI: 10.4236/ojvm.2017.79010
Abstract: This case report describes the radiographic and ultrasonographic findings of three surgically confirmed cases of mesenteric volvulus or intestinal torsion in dogs. In all three cases, ultrasonographic findings included segmental ileus and absent or markedly reduced peristalsis of the affected small intestine, and partial loss of wall layering with increased overall echogenicity of the intestinal wall, but with normal to mildly increased wall thickening. No blood flow was detected in the affected small intestinal wall when assessed with colour Doppler. A moderate amount of peritoneal effusion was also detected with hyperechoic omental and mesenteric fat tissue throughout the peritoneal cavity. Few reports describe ultrasonographic findings of small intestinal ischemia in small animals. In all three cases presented here, ultrasound was helpful in demonstrating typical intestinal wall changes and helped to obtain the correct diagnosis of ischemic disease of the small intestine.
Sigmoid volvulus in pregnancy and puerperium: a surgical and obstetric catastrophe. Report of a case and review of the world literature
Muhammad R Khan, Sameer ur Rehman
World Journal of Emergency Surgery , 2012, DOI: 10.1186/1749-7922-7-10
Linfangioma mesentérico multiquístico como causa de vólvulo intestinal
Revista chilena de cirugía , 2009, DOI: 10.4067/S0718-40262009000300012
Abstract: lymphangiomas are rare benign lesions, most commonly seen in children and adolescents. their intra-abdominal presentation is uncommon. we report a 19 years old male, presenting to the emergency room with abdominal pain associated with fever, vomiting and abdominal distensión. there was a history of múltiple previous consultations for abdominal pain. a plain abdominal x-ray examination suggested a bowel obstruction. at surgery a volvulus and dilation of the small bowel in relation to a vascular malformation was found, excising 40 cm of jejunum with an end-to-end intestinal anastomosis. the pathology report showed a mesenteric multicystic lymphangioma. presently, the patient is in good conditions.
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