Document Detail


Sigmoid volvulus after laparoscopic surgery for sigmoid colon cancer.
MedLine Citation:
PMID:  23879414     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report the first case of sigmoid volvulus after laparoscopic surgery for sigmoid colon cancer. The patient is a 75-year-old man who presented with the sudden onset of severe abdominal pain. He had undergone laparoscopic sigmoidectomy for cancer 2 years before presentation. CT scan showed a distended sigmoid colon with a mesenteric twist, or "whirl sign." Colonoscopy showed a mucosal spiral and luminal stenosis with dilated sigmoid colon distally and ischemic mucosa. The diagnosis of ischemic colonic necrosis due to sigmoid volvulus was established. Resection of the necrotic sigmoid colon was performed and a descending colon stoma was created. A long remnant sigmoid colon and chronic constipation may contribute to the development of sigmoid volvulus after laparoscopic sigmoidectomy. Prompt diagnosis is essential for adequate treatment, and colonoscopy aids in the diagnosis of ischemic changes in patients without definitive findings of a gangrenous colon.
Authors:
Ai Sadatomo; Yasuyuki Miyakura; Toru Zuiki; Koji Koinuma; Hisanaga Horie; Alan T Lefor; Yoshikazu Yasuda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian journal of endoscopic surgery     Volume:  6     ISSN:  1758-5910     ISO Abbreviation:  Asian J Endosc Surg     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101506753     Medline TA:  Asian J Endosc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  217-9     Citation Subset:  IM    
Copyright Information:
© 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.
Affiliation:
Department of Surgery, Jichi Medical University, Tochigi, Japan.
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