Volvulus du colon pelvien cancer du colon rtt scribd. Plain radiographs were suggestive of a large bowel obstruction due to volvulus. Unusual occurrence of sigmoid volvulus in a young adult. The most common sites of volvulus are the sigmoid colon and cecum. A colon volvulus is an abnormal twisting of a portion of the gastrointestinal tract which can impair blood flow. Sigmoid colon is characterized by torsion of the sigmoid loops of the colon, causing mechanical obstruction of the passage leading to the rectum and restriction of blood supply. Colonic volvulus is a rare cause of large bowel obstruction, but more common than small bowel volvulus. Volvulus du sigmoide, devolvulation endoscopique, resection. Ils constituent une urgence diagnostique et therapeutique. Colon volvulus digestive diseases i ohio state medical. Patients and method it was a retrospective, descriptive, and analytical study of 10 years, including all adult patients treated for sigmoid volvulus in the national hospital of niamey. Management of the colonic volvulus in 2016 emconsulte.
Such a type of condition can gradually lead to tissue death. In the context sigmoid volvulus the colon may be described as having a coffee bean sign. Le volvulus du colon pelvien blog du chalet espace des. Volvulus of the transverse colon is a rare condition requiring early diagnosis and treatment. Volvulus twist of the bowel around its own mesentery closed loop obstruction obstruction of the bowel at 2 points in 1 location strangulation obstruction of the bowel with interruption of its blood supply. Volvulus occurs most frequently in middleaged and elderly men. Colonic volvulus has a specific radiographic appearance.
You may not embed one of our images on your web page without a link back to our site. The most common site of colonic volvulus in adults is the sigmoid colon and transverse colonic volvulus represents less than 4% of all with a mortality of a 35% 123 4. To report the results of treatment of sigmoid volvulus in the national hospital of niamey and to propose a therapeutic classification. The sigmoid colon volvulus is a common cause of intestinal obstruction in africa. Sigmoid colon volvulus is still one of the most frequent reasons for emergency largebowel surgery in certain parts of the world. In the absence of ischaemic changes within the redundant bowel, success can be anticipated with conservative fixation procedures. If the diagnosis of volvulus is set on time patients need not be operated and the normal passage of the stool can be perfectly achieved by minor medical procedures such as colonoscopy or sigmoidoscopy. It has usually been considered to be a disease of the elderly, but recent reports emphasize that young and middleaged adults are also susceptible. The overall complication rate from reversal of hartmanns was 21%. Lhypnose therapeutique ciblee sur le tube digestif combine des suggestions en rapport. Still this condition is most commonly followed by certain complications. However, there are virtually no reports of acute sigmoid volvulus occurring in children. Cecal volvulus is twisting of the cecum and ascending colon. This is a descriptive and retrospective study during 5 years, led in the unit of digestive and general surgery of aristide le dantec teaching hospital dakarsenegal.
In volvulus, a loop of intestines is twisted at a point along the mesentery that is attached. A transverse colon volvulus was found, and an extended right. Intestinal malrotation and volvulus intestinal malrotation is a defect that occurs at the 10th week of gestation. After volvulus of the stomach, gas is trapped within this compartment and intragastric pressure rises. Gastric dilation and volvulus in small animals digestive. It is common in asia, india 7% of intestinal obstruction and especially south india because of the high fibre diet. However, a volvulus can occur without this condition present. Intestinal volvulus is defined as a complete twisting of a loop of intestine around its mesenteric attachment site. Xtolvulus of the colon is an uncommon but lethal cause of large bowel obstruction. Volvulus of the small bowel and colon remains a significant cause for surgical emergencies in both children and adults.
A birth defect called intestinal malrotation can make an infant more likely to develop a volvulus. Volvulus du sigmoide traitement endoscopique traitement chirurgical. It is a very common cause of large bowel obstruction in peru and bolivia due to high altitude. We need to determine whether the patient with suspected volvulus has a viable colon and is a candidate \. Volvulus twisting of the colon volvulus occurs when the intestine twists around itself and the mesentery that supports it, creating an obstruction.
An attempt to detorse the volvulus and decompress the colon endoscopically failed, after which the patient was taken for an exploratory laparotomy. The mesentery may become so tightly twisted that blood flow to the affected part of the. Acute sigmoid volvulus in children jama pediatrics. Listing a study does not mean it has been evaluated by the u. Volvulus du sigmoide, devolvulation endoscopique, resection anastomose. Volvulus is defined as a torsion of a portion of the gastrointestinal tract. Torsion dun segment du colon sur son axe meso colique realisant. Sigmoid volvulus is the mostcommon form of volvulus of the gastrointestinal tract. During this stage of development, the intestines normally migrate back into the abdominal cavity following a brief period where they are temporarily located at. The age distribution and underlying causes for each part of the intestine is quite different and can present the surgeon with a diagnostic dilemma leading to an abdominal catastrophe if the volvulus is not diagnosed and treated promptly. Acute volvulus of the sigmoid colon is a welldefined emergency abdominal condition in adults. Colonic volvulus affects between three and seven million people per year. Gastric outflow obstruction may be caused by compression of the duodenum by the distending stomach against the body wall, or it may be due to the presence of neoplasia, a. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis.
The sigmoid colon is more prone to twisting than other segments of the large bowel because it is mobile on its own mesentery, which arises from a fixed point in the left iliac fossa lif. Il sagit dune etude retrospective qui a porte sur 10 ans janvier 2000 decembre 2009. Volvulus twist of the bowel around its own mesentery. Intestinal volvulus is a broad term that describes the torsion of bowel around its mesentery. The aim of this study was to report the result of surgical treatment of volvulus of the sigmoid colon by colectomy in 2 phases. Surgical management of sigmoid volvulus maria georgiades, md october 18, 2012. It is related to but not precisely synonymous with malrotation, a more general term used when the normal process of rotation and fixation of the midgut goes awry.
Abdominal xray abnormal bowel gas pattern volvulus. Volvulus of nearly all portions of the gastrointestinal tract have been observed and reported 2. Les volvulus du colon sont une cause rare mais grave docclusion colique organique 1% occlusions intestinales. Normally, the cecum and ascending colon are fixed to the abdominal wall. A 75year old male presented to the emergency room with worsening abdominal pain and distension. Torsion results in narrowing of the lumen at the point of rotation and compromise of the vessels that supply the torted gut. Malrotation of colon and volvulus of midgut netter images.
Sigmoid volvulus is common in elderly persons, in individuals with neurologic conditions, and in patients in nursing homes or mental health facilities. Colonic volvulus is the third leading cause of colonic obstruction in the world, following colorectal cancer and complicated sigmoid diverticulitis 2. Cecal volvulus most commonly is due to lack of fixation. A volvulus is a twisting of the intestine that can occur in childhood. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. Il survient le plus frequemment chez le sujet age mais il peut apparaitre a tout age. Volvulus, derived from the latin term volvere, is a subtype of abnormal gastrointestinal gi rotation.
Any mobile segment of the colon can be affected by volvulus 3. The colon and its mesentery twist, leading to a closed loop colonic obstruction, a more proximal intestinal obstruction, and an abdominal crisis. Management depends on the volvulus location, patients comorbidities and colon viability, but remains an emergency in every case. If you would like a large, unwatermarked image for your web page or. The area of intestine above the obstruction caused by the colon volvulus continues to function and fills with food, fluid and gas. The term volvulus comes from the latin volvere meaning twist. About europe pmc funders joining europe pmc governance. The criterion of inclusion was volvulus of the sigmoid. Prise en charge des volvulus du colon sigmoide springerlink. In case of clinicoradiological gravity signs, an emergency surgery has to be done, but exposes to high morbidity and mortality rates. The area of intestine above the obstruction continues to function and fills with food, fluid, and gas. Le volvulus du sigmoide est une urgence medicochirurgicale frequente. Cours gratuits gastrologie le volvulus du colon pelvien.
A prospective randomized trial the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Another issue is the higher prevalence of sigmoid volvulus in men than women. Berti first described gastric volvulus in a female autopsy patient in 1866. There is an interesting contrast be tween the incidence of volvulus of the colon in europe and in the united states. The sigmoid is most frequently involved, with redundant colon as the primary cause. Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon. More commonly seen in people ages 30 to 60, cecal volvulus may be caused by abdominal adhesions, severe coughing, or pregnancy. This was a retrospective descriptive study realized in the. It is a common cause of bowel obstruction and constipation.
The two commonest types of bowel twisting are sigmoid volvulus and caecal volvulus. Lengthening of the sigmoid colon and its mesentery is not a feature of normal ageing. Volvulus can also arise as a rare complication in persons with redundant colon, a normal anatomic variation resulting in extra colonic loops. If improperly attached, they can move and become twisted. Volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel obstruction. The disorder is characterized by twisting of intestine that obstructs the blood supply. Ils ont ensuite beneficie dun scanner abdominopelvien injecte, il a.
1380 864 854 190 704 1523 714 35 88 698 1307 1431 1107 264 1650 559 1191 1336 1106 1210 185 423 769 419 445 472 767 1543 563 1078 345 317 117 1371 193 1276 1197