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Sigmoid volvulus

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Medical Student

This document discusses sigmoid volvulus, a condition where the sigmoid colon twists on its blood supply, causing a bowel obstruction. It most commonly affects elderly, constipated, or comorbid patients. Management involves inserting a flatus tube during sigmoidoscopy to relieve the obstruction, followed by sigmoid colectomy to prevent future episodes. Complications can include perforation of the bowel and fatal peritonitis if not treated promptly.

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Sigmoid volvulus
How it occurs? Bowel twists on its mesentery Severe,rapid,strangulated obstruction AXR Inverted U loop of bowel Coffee bean shape
Who usually get it? Elderly Constipated patient Comorbid patient
How do u manage it? Sigmoidoscopy Insertion of flatus tube Sigmoid colectomy
What is the complications? Perforation Fatal peritonitis

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Sigmoid volvulus

  • 2. How it occurs? Bowel twists on its mesentery Severe,rapid,strangulated obstruction AXR Inverted U loop of bowel Coffee bean shape
  • 3. Who usually get it? Elderly Constipated patient Comorbid patient
  • 4. How do u manage it? Sigmoidoscopy Insertion of flatus tube Sigmoid colectomy
  • 5. What is the complications? Perforation Fatal peritonitis