Sigmoidopexy and Tube Sigmoidostomy in Sigmoid Volvulus: A Case Report
DOI:
https://doi.org/10.60787/tnhj.v12i1.84Keywords:
Sigmoid volvulus, sigmoidopexy, tube sigmoidostomy, NigeriaAbstract
Background: Sigmoid volvulus is a surgical condition with high recurrence and mortality rates following non operative decompression of the colon. It is for this reason that definitive surgery is required for effective treatment. The aim of this report is to present the outcome following sigmoidopexy and tube sigmoidostomy in a patient with sigmoid volvulus.
Method: The case records of a 46 year old man who presented with abdominal pain, absolute constipation, abdominal distension and bilous vomiting as well as literature of the subject using available journals and books in addition to online search through goggle and Medline were utilized.
Results: Examination showed abdominal distension with generalized and absent bowel sounds. Plain abdominal x- ray (erect and supine), showed evidence of sigmoid volvulus. Sigmoidopexy and tube sigmoidostomy (using foley catheter) were subsequently done. Surgery and post-operative recovery were uneventful. Sigmoidostomy became functional on the first post-operative day with a reduction in the volume of the discharge by the 4th post-operative day. Catheter was removed by the 10th day and the patient discharged on the 11th day after surgery. He has been followed up for 6 months now on outpatient basis and remains in a good state of health without any symptoms.
Conclusion: Sigmoidopexy and tube sigmoidostomy should be considered as an effective option for the surgical treatment of patients who present with sigmoid volvulus without gangreneDownloads
References
Oncu M, Piskin B, Calik A. Volvolus of the sigmoid volvolus. S Afr J Surg 1991;29:48-49
Sackier JM. Gastrointestinal volvolus. Surgery(South African edition) 1989;66:1578-1583
Madiba TE, Thomson SR. Volvolus of the sigmoid colon.Gastroenterology forum 1997;8:28-33
Makoena TR, Madeba TE. Sigmoid volvolus among Africans in Durban. Trop Geograph Medicine 1995;47:216-217
Friedman JD, Odland MD, Bubrick MP. Experience with colonic volvolus. Dis Colon Rectum 1989;32:409-416
Meller SG, Phillie RKS. The aetiology and management of sigmoid volvolus in the united kingdom:How much colon need be excised? Ann Roy Coll Surg EMGL 1990;72:193-195
Agrez M, Cmeron D. Radiology of sigmoid volvolus. Dis Colon Rectum 1981;24:510
Madiba TE, Thomson SR. The management ofsigmoid volvolus. J R Coll Surg Edinb 2000;45:74-80
Peoples JB, Mc Cafferty JC, Scher KS. Operative therapy for sigmoid volvolus. Identification of risk factors affecting outcome. Dis Colon Rectum 1990;33:643-646
HiltumenK, Syrj per thousand H,Matikainen M. Colonic volvolus. Diagnosis and results of treatment in 82 patients. Eur J Surg 1992;158:607-611
Welsch GH, Anderson JR. Acute volvolus of the sigmoid colon. World J Surg 1987;11:258-262
SalimAS. Managrment of acute volvolus of the sigmoid colon. World J Surg 1991;15:68-73
BagaraniM, Conde AS, Longo R. Sigmoid volvolus in West Africa. A prospective study in surgical treatments. Dis Colon Rectum 1993;36:186-190
Jagetia A, Verma S, Mittal D, Das Agarwal P, Jain S, Prasad P. Sigmoidopexy(tube sigmoidostomy) as a definitive surgical procedure for sigmoid volvolus. Indian J Gastroenterol 1998;17(4):129-130Dodiyi-Manuel A, et al — Sigmoidopexy and Tube SigmoidostomyThe Nigerian Health Journal, Vol. 12, No 1, January - March, 2012
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