Abstract

MUCINO PEREZ, Luis Ángel et al. Sigmoid volvulus. Review of literature. Cir. gen [online]. 2021, vol.43, n.3, pp.165-175.  Epub June 02, 2023. ISSN 1405-0099.  https://doi.org/10.35366/108569.

Sigmoid volvulus remains a relatively rare cause of acute abdomen, with a 60% mortality rate in complicated cases with higher prevalence among elder males with a history of limited sufficiency. It often debuts as an occlusive clinical picture with few and unspecific biochemical alterations, except in advanced cases with objective signs of colonic ischemia and abdominal sepsis. As to imaging diagnosis, the simple abdominal X-rays show the characteristic and best known “coffee bean” sign, nevertheless the computed tomography scan is still considered the gold standard having a high specificity and sensitivity. Early diagnosis in stable patients allows a large range of surgical, endoscopic, or interventional options, either transitory or definitive. Complicated cases with abdominal sepsis or hemodynamic compromise often requires surgical management with a higher rate of complications.

Keywords : sigmoid volvulus; ischemia; Hartmann procedure colostomy; non-resective.

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