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Sigmoid Volvulus Necessitating Total Colectomy

Author(s)
Asrar Ahmad Department of Surgery, PNS Shifa Karachi, Pakistan
Irum saleem Department of OBS/GYNAE, PNS Shifa Karachi, Pakistan
Mahwish Mahboob Bhutta Department of Surgery, PNS Shifa Karachi, Pakistan
Mashal Ahmed Department of Surgery, PNS Shifa Karachi, Pakistan
Namra Sohail Raja Department of Surgery, PNS Shifa Karachi, Pakistan
Rafia Durrani Department of Surgery, Agha Khan University Hospital, Pakistan
Abstract
Sigmoid volvulus is a well-known cause of large bowel obstruction. Its management includes urgent endoscopic decompression or emergency laparotomy. The gangrenous sigmoid colon is resected with either end to end anastomosis or Hartmann's procedure. Here we present a rare presentation of sigmoid volvulus causing gangrene of the whole colon. It was probably due to double closed loop obstruction caused distally by the volvulus itself and proximally by the competent ileo-caecal valve. It was managed by total colectomy with terminal ileostomy and Hartmann's procedure. To our knowledge only one such case report has been published in the literature so for.
Publication Details
Page(s) 67-69
DOI 10.51985/JBUMDC202219
Published Journal: Journal of Bahria University Medical and Dental College, Volume: 13, Issue: 1, Year: 2023

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Keywords
Ileostomy, Volvulus, Gangrene, laparatomy
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