Abstract

NINO-TORRES, Laura; GUZMAN-AVILA, Andrés Orlando; BUITRAGO, Viviana  and  LONDONO-RUIZ, Germán Darío. Unusual Case Report of Synchronous Caecal and Sigmoid Volvulus. Rev. colomb. Gastroenterol. [online]. 2022, vol.37, n.1, pp.103-106.  Epub May 24, 2022. ISSN 0120-9957.  https://doi.org/10.22516/25007440.720.

In the spectrum of patients with intestinal obstruction, volvulus is one of the least frequent etiologies (5-15 %). Synchronous volvulus of two colonic segments in a patient is regarded as rare, with few cases reported in the literature. The present report of synchronous cecal and sigmoid volvulus documents one of them: a patient who underwent subtotal colectomy and formation of ileostomy. Although the preoperative diagnosis of this entity is rare, it should be considered in these intraoperative findings for both intraoperative management, with resection and anastomosis or resection and stoma, and postoperative management. It has a significant impact on mortality if patients are treated with broad-spectrum antibiotic coverage, given the bacterial translocation and sepsis that they experience.

Keywords : Intestinal volvulus; sepsis; general surgery.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )