I Wani, R Ganaie
I Wani, R Ganaie. Sigmoid Volvulus with Gangrene: Letter to the Editor. The Internet Journal of Surgery. 2007 Volume 17 Number 1.
Sigmoid volvulus is commonly seen in elderly patients and in those with chronic constipation and mental illness. A long redundant sigmoid colon twists about its mesenteric axis in either direction and forms a closed loop obstruction producing volvulus. A 62-year-old patient reported with abdominal pain, constipation and fever of 2 days duration. The patient was dehydrated and toxic. Abdominal examination revealed massive distension, tenderness and absent bowel sounds. The intraoperative image shows a twisted and enormously dilated sigmoid colon with gangrene (figures 1 and 2). Resection of the gangrenous part with colostomy was done. After 6 weeks the patient had colostomy closure but died on the 3rd day after the operation.
Imtiaz Ahmed Wani Amira Kadal, Srinagar Kashmir, India, 190009 Cell Phone No. 9419904864 e-mail: email@example.com